Major Laparoscopic Complications: A Review in Two Parts

2012 ◽  
Vol 28 (5) ◽  
pp. 315-332 ◽  
Author(s):  
Michael Baggish
Keyword(s):  
Laparoscopic Complications

scholarly journals The Effectiveness of a Systematic Algorithm for the Management of Vascular Injuries during the Laparoscopic Surgery

2015 ◽  
Vol 9 (3) ◽  
pp. 138-142 ◽  
Author(s):  
Carlo C. Passerotti ◽  
José A. Cruz ◽  
Sabrina T. Reis ◽  
Marcelo T. Okano ◽  
Ricardo J. Duarte ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Vascular Injury ◽  
Vascular Injuries ◽  
Laparoscopic Complications ◽  
Before And After ◽  
Life Threatening ◽  
Potential Risks ◽  
Time Required ◽  
Training Protocol ◽  
Made In

Objectives: Currently, there is no standardized training protocol to teach surgeons how to deal with vascular injuries during laparoscopic procedures. The purpose of this study is to develop and evaluate the effectiveness of a standardized algorithm for managing vascular injury during laparoscopic nephrectomies. Materials and Methods: The performance of 6 surgeons was assessed during 10 laparoscopic nephrectomies in a porcine model. During the first and tenth operations, an injury was made in the renal vein without warning the surgeon. After the first procedure, the surgeons were instructed on how to proceed in dealing with the vascular injury, according to an algorithm developed by the designers of this study. The performance of each surgeon before and after learning the algorithm was assessed. Results: After learning the algorithm there was a decreased blood loss from 327 ± 403.11 ml to 37 ± 18.92 ml (p = 0.031) and decreased operative time from 43 ± 14.53 min to 27 ± 8.27 min (p = 0.015). There was also improvement in the time to start lesion repair from 147 ± 117.65 sec to 51 ± 39.09 sec (p = 0.025). There was a trend toward improvement in the reaction time to the injury (22 ± 21.55 sec vs. 14 ± 6.39, p = 0.188), the time required to control the bleeding (50 ± 94.2 sec vs. 14 ± 6.95 sec, p = 0.141), and the total time required to completely repair of the vascular injury (178 ± 170.4 sec vs. 119 ± 183.87 sec, p = 0.302). Conclusion: A standardized algorithm may help to reduce the potential risks associated with laparoscopic surgery. Further studies will help to refine and determine the benefits of standardized protocols such as that developed in this study for the management of life-threatening laparoscopic complications.

Reduction of cannula-related laparoscopic complications using radial expansion

1998 ◽  
Vol 5 (3) ◽  
pp. S15
Author(s):  
DI Galen ◽  
A Jacobson ◽  
LN Weckstein ◽  
RA Kaplan ◽  
KL DeNevi
Keyword(s):  
Radial Expansion ◽  
Laparoscopic Complications

Laparoscopic complications in Finland

1999 ◽  
Vol 6 (3) ◽  
pp. 363 ◽  
Author(s):  
Päivi Härkki-Sirén ◽  
Harrith M. Hasson
Keyword(s):  
Laparoscopic Complications
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