Laparoscopic bowel injury in retroperitoneal surgery: current incidence and outcomes

The Journal of Urology
Michael J SchwartzLouis R Kavoussi

Abstract

Laparoscopic bowel injury is associated with significant morbidity and mortality when unrecognized. We assessed the incidence and outcomes of bowel injury in a contemporary cohort of patients, and reviewed the literature to examine the impact of experience with time on the incidence and consequences of bowel injury. Between 2006 and 2009 we performed 1,073 laparoscopic surgeries on the upper urinary tract, adrenal gland and retroperitoneal lymph nodes. Patients incurring bowel injury were identified retrospectively. We reviewed complications and management. In a separate literature survey we identified 21 studies on laparoscopic bowel injury from 1993 to 2009. We analyzed etiology, incidence and management. Bowel injury occurred in 8 cases (0.75%), including 6 and 2 identified intraoperatively and postoperatively, respectively. Mechanisms included Veress needle and trocar placement, dissection and thermal injury. Intraoperative management included oversewing the injury, bowel resection and observation. No patient with intraoperatively recognized bowel injury sustained a postoperative adverse event. Patients with unrecognized injury presented in delayed fashion and required multiple procedures to manage the injury. No deaths occ...Continue Reading

References

Feb 1, 1993·The Journal of Urology·L R KavoussiW Schuessler
Feb 18, 1999·The Journal of Urology·J T BishoffF Schroder
May 15, 2001·BJU International·M KumarN P Gupta
Jan 31, 2004·Urology·J Kellogg ParsonsLouis R Kavoussi
Mar 17, 2004·The Journal of Urology·Scott D SimonPaul E Andrews
Dec 14, 2004·The Journal of Urology·Anup P RamaniInderbir S Gill
Jan 16, 2007·The Journal of Urology·Sompol PermpongkosolLouis R Kavoussi
Dec 8, 2007·Journal of the Chinese Medical Association : JCMA·Yu-Hung LinKuang-Kuo Chen
Feb 22, 2008·The Journal of Urology·Burak TurnaInderbir S Gill
Apr 22, 2008·The Cochrane Database of Systematic Reviews·G AhmadA Watson
Mar 21, 2009·European Urology·Osamu KamihiraSeiji Naito

❮ Previous
Next ❯

Citations

Jan 19, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Lena PergerCarroll M Harmon
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Wei JiangCong-Jian Xu
Jan 9, 2014·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Homayara Haque Aziz
Dec 11, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·U A Wittel, U T Hopt
Apr 19, 2011·Journal of Pediatric Surgery·M UpadhyayaM N Woodward
Dec 17, 2014·Obstetrical & Gynecological Survey·Kenneth S K LawStephen D Lyons
Oct 3, 2014·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Pamela B AndreattaR Kevin Reynolds
Jul 7, 2019·BMJ Case Reports·Mohammad Yusuf AbdoolraheemAlastair Henderson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.