Abstract
Laparoscopic surgery has many advantages but it is not without complications. The complexity of the surgery significantly influences the complication rate. Laparoscopic surgeons ought to be aware of the possible complications and how they could be prevented, recognized without delay, and managed safely and efficiently. Important complications include injuries to the vessels, bowel and urinary tract. Incisional hernia ought to be reduced by careful closure of the fascia whenever a trocar > or =10 mm is used at the extraumbilical site. Gas embolism is a rare but potentially life threatening complication. Shoulder pain is a minor complication but is exceedingly common; it is less likely to occur if as much gas as possible is removed at the end of the operation while the patient is still in head down Trendelenburg position. Rare complications include pneumothorax, subcutaneous and pre-peritoneal emphysema, cardiac arrhythmia, nerve injury and venous thrombosis. Laparoscopic surgeons should also understand the principles of electrosurgery and how to avoid complications arising from the use of electrical energy including capacitative coupling, direct coupling and insulation failure.
Citations
Apr 11, 2000·Seminars in Surgical Oncology·S W Larach, J T Gallagher
Nov 12, 2002·The Journal of Emergency Medicine·Shawn Van DeusenJoseph J Bove
Nov 5, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jesús LagoFernando Turégano
Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Arnold P Advincula, Karen Wang
Jun 25, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Ceana H NezhatFriedrich A Wieser
Jun 23, 2009·Best Practice & Research. Clinical Obstetrics & Gynaecology·Alan LamGeorge Condous
Aug 2, 2008·Obstetrics and Gynecology·Leigh G SeamonDavid E Cohn
Dec 3, 2015·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Clare Wong, Harry Merkur
Apr 25, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·K Wang, A P Advincula
Sep 16, 2009·The Journal of Obstetrics and Gynaecology Research·Wen-Hsiang SuPeng-Hui Wang
Apr 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Gurcan SimsekSerhat Dogan
Dec 30, 2014·Emergency Radiology·Prashanth SaddalaSachin S Saboo
Apr 15, 2020·The Journal of Surgical Research·Jasmine ZhaoKamran Samakar