- Academic Editor
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Background: This study aimed to investigate the risk factors associated
with complications following gynecologic laparoscopic surgery. Methods:
A retrospective analysis was conducted on patients who underwent gynecologic
laparoscopic surgery at Huazhong University of Science and Technology Union
Shenzhen Hospital between January 2005 and October 2021. The study population was
divided into four groups based on the type of surgery: adnexal surgery,
myomectomy/other uterine lesions, laparoscopically assisted vaginal hysterectomy
(LAVH)/total laparoscopic hysterectomy (TLH), and surgery for malignancy. The
rates of major and minor complications were compared and factors influencing the
occurrence of complications were analyzed. Results: A total of 15,308
patients were included in this study. The rates of major and minor complications
were 0.51% (78/15,308) and 4.64% (711/15,308), respectively. Multivariate
logistic regression analysis revealed that older age (31–60 years-old
vs. 18–30 years-old: adjusted odds ratio (aOR): 2.88, 95% confidence
interval (CI): 1.89–7.88;