CoChat
Sign Up
Cited by 418Minimally Invasive Surgical TechniquesGynecological conditions and treatmentsUterine Myomas and Treatments

The DOI matches its Crossref record.

Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29,966 cases

Chapron, C., Querleu, D., Bruhat, M. A., Madelenat, P., Fernandez, H., Pierre, F., Dubuisson, J. B.·1998·Human Reproduction
DOI 10.1093/humrep/13.4.867
Open this paper in CoChat — free account

Abstract

A multicentre study was carried out in seven top French centres for laparoscopic gynaecological surgery. This series covers a period of 9 years, in which 29,966 diagnostic and operative laparoscopic operations were performed. The risk of complications has been assessed according to the complexity of the laparoscopic procedure in question. The means of diagnosis and treatment of the complications have been analysed, together with the importance of the surgeon's degree of experience. The mortality rate was 3.33 per 100,000 laparoscopies. The overall complication rate was 4.64 per 1000 laparoscopies (n = 139). The rate of complications requiring laparotomy was 3.20 per 1000 (n = 96). The complication rate was significantly correlated with the complexity of the laparoscopic procedure (P = 0.0001). One in three complications (34.1%; n = 43) occurred while setting up for laparoscopy, and one in four (28.6%) were not diagnosed during the operation. As new indications for laparoscopic surgery in gynaecology have appeared, there has been a parallel and statistically significant increase in the rate of urological complications (P = 0.001). Increased experience by the surgeons has had three consequences: a statistically significant drop in the number of bowel injuries (P = 0.0003), a drop in the rate of complications requiring laparotomy for those laparoscopic surgical procedures that are well defined (P = 0.01), and a change in the way complications are treated, with a significant increase in the proportion of incidents treated by laparoscopy (P = 0.0001).

Overview

Integrity signals

Registry

Crossref · 10.1093/humrep/13.4.867

Cites

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cited by

Sorted by citations

Items 201–300 of 418

Related

See all

Metadata

Authors
Chapron, C., Querleu, D., Bruhat, M. A., Madelenat, P., Fernandez, H., Pierre, F., & Dubuisson, J. B.
Affiliations
Hôpital Cochin (FR)
ORCID
Venue
Human Reproduction
Publisher
Oxford University Press (OUP)
Published
1998-04-01
Volume
13
Issue
4
Pages
867-872
ISSN
  • 0268-1161 (ISSN-L)
  • 1460-2350
DOI
10.1093/humrep/13.4.867
OpenAlex
W2165936652
Cited by
406
References
0
Citations by year
2026: 4 · 2025: 9 · 2024: 4 · 2023: 17 · 2022: 10 · 2021: 12 · 2020: 12 · 2019: 9 · 2018: 17 · 2017: 7 · 2016: 15 · 2015: 16 · 2014: 17 · 2013: 22 · 2012: 24
FWCI
19.98
Type
journal article
Language
en
Open access
closed
Locations
  • Human Reproduction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
  • Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords
gynecologic laparoscopy, surgical complications, diagnostic laparoscopy, laparoscopic surgery, complication incidence, procedure complexity, surgeon experience, postoperative mortality, intestinal injury, urological complications, laparotomy, complication management
MeSH terms
Female, Genital Diseases, Female, Humans, Intraoperative Complications, Laparotomy, Laparoscopy, Reoperation, Incidence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review