Premium
A nationwide survey on gynecologic endoscopic surgery in Japan, 2014–2016
Author(s) -
Taniguchi Fuminori,
WadaHiraike Osamu,
Hirata Tetsuya,
Tajima Hiroto,
Masuda Hirotaka,
Kitade Mari,
Kumakiri Jun,
Uchiide Ichiro,
Saito Juichiro,
Kurose Keisuke,
Takeshita Toshiyuki,
Harada Tasuku
Publication year - 2018
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13774
Subject(s) - medicine , surgery , endoscopy , hysterectomy , incidence (geometry) , laparoscopic surgery , complication , laparoscopy , medical record , general surgery , physics , optics
Abstract Aim Since 2014, Japan Society of Gynecologic and Obstetric Endoscopy and minimally invasive therapy (JSGOE) conducted a nationwide survey on gynecologic endoscopic surgery. We aimed to evaluate the current status and complications associated with endoscopic surgery by Japan gynecologic and obstetric endoscopy‐database registry system (JOE‐D). Methods Electrical medical records concerning the endoscopic surgery were generated from the daily use of reporting system. The subjects were all patients who underwent gynecologic endoscopic surgery. In addition to assessment of actual numbers, diagnosis, and operative methods, adverse events were registered. Results Total 203 970 patients performed laparoscopic, hysteroscopic and falloposcopic surgery for 3 years, 2014–2016. The numbers of endoscopic surgeries conducted in 2016 were increased more than 67 000, 13 000 or 450 cases, respectively. Incidence rates of complications involving these three types of surgeries in each year were approximately 3.1%. Incidences of intraoperative complications were relatively high in malignant diseases, laparoscopic‐assisted vaginal hysterectomy (LAVH) and myomectomy (LAM). In total laparoscopic hysterectomy/laparoscopic hysterectomy (TLH/LH) performed from 2014 to 2016, ureteral injury as intra and postoperative complication occurred in 0.35%. In the past 3 years, the rates of vascular injury, urinary tract, and bowel injury as intraoperative complications caused by laparoscopic surgery were approximately 0.1%. In the hysteroscopic surgery, the rates of total intra‐ and postoperative complications were 0.78%. Conclusion We exhibited the current status by the nationwide survey of gynecologic endoscopic surgery all over Japan. Severe intra or postoperative complications were identified over the 3 years at a rate of 0.04%.