Analysis of complications of laparoscopic management of abdominal diseases related to extended indications
Introduction: The introduction of minimally invasive procedures has changed the pattern of surgical complications.Some were only incidentally described in open surgery. Others significantly changed in character or incidence.Aim: We present the incidence, character and dynamics of important complicat...
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| Format: | Article |
| Language: | English |
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Medycyna Praktyczna
2010-06-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
| Subjects: | |
| Online Access: | http://www.termedia.pl/Original-paper-Analysis-of-complications-of-laparoscopic-management-of-abdominal-diseases-related-to-extended-indications,42,14924,1,0.html |
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| author | Kazimierz Rembiasz Andrzej Bobrzyński Andrzej Budzyński Marcin Strzałka Anna Gwóźdź Marcin Migaczewski Anna Zub |
| author_facet | Kazimierz Rembiasz Andrzej Bobrzyński Andrzej Budzyński Marcin Strzałka Anna Gwóźdź Marcin Migaczewski Anna Zub |
| author_sort | Kazimierz Rembiasz |
| collection | DOAJ |
| description | Introduction: The introduction of minimally invasive procedures has changed the pattern of surgical complications.Some were only incidentally described in open surgery. Others significantly changed in character or incidence.Aim: We present the incidence, character and dynamics of important complications of laparoscopic procedures withinthe entire period of application of this technique.Material and methods: Patients operated on laparoscopically in the 2nd Department of General Surgery of theJagiellonian University between 1992 and 2009 (n = 8732) were included in the study. In order to follow the dynamicsof complication rates the study period was divided into 3 sub-periods: 1) 1992-1997, 2) 1998-2003, 3) 2004-2009.There were 2343 laparoscopic procedures performed in the 1st period, 3310 in the 2nd and 3079 in the 3rd.Results: The proportion of procedures other than cholecystectomy gradually increased: 1) –22.79%, 2) –31.81%,3) –40.05%. Overall conversion rate was 2.91%; in the 1st period it was 3.97%, in the 2nd 1.81%, and in the 3rd 3.28%.Complication-driven conversion rates were 0.60%, 0.27%, and 0.26%, respectively. Bleeding and biliary tree injurieswere the most common causes. Complications requiring reoperations occurred in 0.48% of patients, and theirincidence remained constant. Haemorrhage and intra-abdominal abscesses were observed most often. Use oflaparoscopic technique in their management increased in consecutive periods from 20% in the 1st, 45.83% in the 2nd,to 53.57% in the 3rd time period.Conclusions: The introduction of new advanced procedures did not increase overall complication rate. Change in theirnature and more common use of laparoscopic technique in their management were noted. |
| format | Article |
| id | doaj-art-3b51a86939994480aee9ebfe509c2fdc |
| institution | Kabale University |
| issn | 1895-4588 |
| language | English |
| publishDate | 2010-06-01 |
| publisher | Medycyna Praktyczna |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-3b51a86939994480aee9ebfe509c2fdc2025-08-20T03:55:36ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882010-06-01525359Analysis of complications of laparoscopic management of abdominal diseases related to extended indicationsKazimierz RembiaszAndrzej BobrzyńskiAndrzej BudzyńskiMarcin StrzałkaAnna GwóźdźMarcin MigaczewskiAnna ZubIntroduction: The introduction of minimally invasive procedures has changed the pattern of surgical complications.Some were only incidentally described in open surgery. Others significantly changed in character or incidence.Aim: We present the incidence, character and dynamics of important complications of laparoscopic procedures withinthe entire period of application of this technique.Material and methods: Patients operated on laparoscopically in the 2nd Department of General Surgery of theJagiellonian University between 1992 and 2009 (n = 8732) were included in the study. In order to follow the dynamicsof complication rates the study period was divided into 3 sub-periods: 1) 1992-1997, 2) 1998-2003, 3) 2004-2009.There were 2343 laparoscopic procedures performed in the 1st period, 3310 in the 2nd and 3079 in the 3rd.Results: The proportion of procedures other than cholecystectomy gradually increased: 1) –22.79%, 2) –31.81%,3) –40.05%. Overall conversion rate was 2.91%; in the 1st period it was 3.97%, in the 2nd 1.81%, and in the 3rd 3.28%.Complication-driven conversion rates were 0.60%, 0.27%, and 0.26%, respectively. Bleeding and biliary tree injurieswere the most common causes. Complications requiring reoperations occurred in 0.48% of patients, and theirincidence remained constant. Haemorrhage and intra-abdominal abscesses were observed most often. Use oflaparoscopic technique in their management increased in consecutive periods from 20% in the 1st, 45.83% in the 2nd,to 53.57% in the 3rd time period.Conclusions: The introduction of new advanced procedures did not increase overall complication rate. Change in theirnature and more common use of laparoscopic technique in their management were noted.http://www.termedia.pl/Original-paper-Analysis-of-complications-of-laparoscopic-management-of-abdominal-diseases-related-to-extended-indications,42,14924,1,0.htmlcomplications of laparoscopycommon bile duct injuriesbleedingintra-abdominal abscessesre-laparoscopy |
| spellingShingle | Kazimierz Rembiasz Andrzej Bobrzyński Andrzej Budzyński Marcin Strzałka Anna Gwóźdź Marcin Migaczewski Anna Zub Analysis of complications of laparoscopic management of abdominal diseases related to extended indications Videosurgery and Other Miniinvasive Techniques complications of laparoscopy common bile duct injuries bleeding intra-abdominal abscesses re-laparoscopy |
| title | Analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| title_full | Analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| title_fullStr | Analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| title_full_unstemmed | Analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| title_short | Analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| title_sort | analysis of complications of laparoscopic management of abdominal diseases related to extended indications |
| topic | complications of laparoscopy common bile duct injuries bleeding intra-abdominal abscesses re-laparoscopy |
| url | http://www.termedia.pl/Original-paper-Analysis-of-complications-of-laparoscopic-management-of-abdominal-diseases-related-to-extended-indications,42,14924,1,0.html |
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