COMPLICATION OF LAPAROSCOPY IN JAPAN

DOI
  • TAKEMOTO TADAYOSHI
    1st Divison, Department of Internal Medicine, Yamaguchi University School of Medicne
  • OKITA KIWAMU
    1st Divison, Department of Internal Medicine, Yamaguchi University School of Medicne

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Other Title
  • 腹腔鏡検査の偶発症
  • ―全国72施設のアンケート調査のまとめ―

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Abstract

Studies were made on the complication of laparoscopy in our country in the requirement of N World Congress of Gastroenterological Endoscopy. The number of compication from 1969 to 1977 and its items were taken by questionnaire in 114 institutions. The complete replies were filled in 72 institutions (630), and the followings were revealed.(1) Total examinee were 31, 652 cases from 1968 to 1977. (2) The incidence of complication was 0.945%, and death rate by the complications was 0.076% in total examinee. Moreover, the incidence of complication due to laparoscopy was 0.5810, while this due to liver biopsy through laparoscopy was 0.476% in biopsied 24, 358 cases.(3) The items of complication due to laparoscopy were as follows in order of inci-dence; cutaneous emphysema, circulatory insufficiency, infection, puncture of follow viscus, mediastinal emphysema, anaphylaxis, pneumothorax, and omental emphysema. On the other hand, the same study on complication due to liver biopsy was as follows; intraabdominal bleeding, bile peritonitis, pneumothorax, and circu-latory insufficiency.(4) Although the room for laparoscopic examination was also examined, 61 out of 72 institutions had aseptic exclusive room including operation room for laparoscopic examination. However, the remained 11 institutions just used the same room for usual gas-troenterological endoscopy.

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