Naveiro Fuentes, MariñaRodríguez-Oliver, AntonioNaveiro Rilo, José CesáreoGonzález Paredes, AidaAguilar Romero, María TeresaFernández Parra, Jorge2015-06-112015-06-112014-07Fuentes MN, Rodríguez-Oliver A, Naveiro Rilo JC, González Paredes A, Aguilar Romero MT, Fernández Parra J. Complications of Laparoscopic Gynecologic Surgery. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2014;18(3):e2014.000581086-8089http://hdl.handle.net/10668/1904Journal Article;BACKGROUND AND OBJECTIVES To analyze the frequency of complications during laparoscopic gynecologic surgery and identify associated risk factors. METHODS A descriptive observational study was performed between January 2000 and December 2012 and included all gynecologic laparoscopies performed at our center. Variables were recorded for patient characteristics, indication for surgery, length of hospital stay (in days), major and minor complications, and conversions to laparotomy. To identify risk factors and variables associated with complications, crude and adjusted odds ratios were calculated with unconditional logistic regression. RESULTS Of all 2888 laparoscopies included, most were procedures of moderate difficulty (adnexal surgery) (54.2%). The overall frequency of major complications was 1.93%, and that of minor complications was 4.29%. The level of technical difficulty and existence of prior abdominal surgery were associated with a higher risk of major complications and conversions to laparotomy. CONCLUSION Laparoscopic gynecologic surgery is associated with a low frequency of complications but is a procedure that is not without risk. Greater technical difficulty and prior surgery were factors associated with a higher frequency of complications.enGynecological laparoscopyComplicationsRisk factorsOutcomesEstudios RetrospectivosFactores de RiesgoEvaluación de Resultado (Atención de Salud)Procedimientos Quirúrgicos GinecológicosLaparoscopíaMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Surgical Procedures, Minimally Invasive::Endoscopy::LaparoscopyMedical Subject Headings::Check Tags::FemaleMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective StudiesMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk FactorsMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Outcome and Process Assessment (Health Care)::Outcome Assessment (Health Care)Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Urogenital Surgical Procedures::Gynecologic Surgical Proceduresresearch article25392659open access10.4293/JSLS.2014.000581938-3797PMC4208895