Extra-biliary complications during laparoscopic cholecystectomy: How serious is the problem?

Malik, Arshad Mahmood; Laghari, Abdul Aziz; Mallah, Qasim; Hashmi, Fazila; Sheikh, Ubaid; Talpur, K. Altaf Hussain

doi:10.4103/0972-9941.40990

Cited by 13 publications

(25 citation statements)

References 24 publications

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“…Murdock et al reported a comparable incidence of the same (1.62%) in their study. [12] This study shows the incidence of intraoperative haemorrhage as 0.92%, which is significantly lower than the study by Malik et al [13] (2.86%), but higher than study by Deziel et al (0.25%). There were no bile duct injuries in our study.…”

Section: Intraoperative Complicationscontrasting

confidence: 54%

How Safe Is Laparoscopic Cholecystectomy? - A Review of 327 Patients

Shah¹,

Kumar²,

Pallavi³

et al. 2017

jemds

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BACKGROUNDWorld over success of laparoscopic surgery has mirrored the success of laparoscopic cholecystectomy and it usually is the first surgical operation performed by a surgeon laparoscopically. Though regarded as safe, the anatomical variations in biliary tree and lack of experience to 3-dimensional view sometimes lead to unforeseen complications. MATERIALS AND METHODSThis case series study was conducted to analyse the overall incidence of various complications of laparoscopic surgery in a mixed setup of senior and junior surgeons in the Department of Surgery in a tertiary care institute of Punjab, India. RESULTSA total number of 327 patients undergoing laparoscopic cholecystectomy were studied in the period from January 2008 to June 2009. Females outnumbered males in this study. The complication rate varied from 5.78% in patients with a diagnosis of cholelithiasis to 13.16% in patients undergoing cholecystectomy for acute cholecystitis. Complications were found to be higher in males and in age group of 60 -69 years. The rate of intraoperative and postoperative complications is 4.59% and 2.1% respectively. CONCLUSIONProper preoperative assessment and pre-anaesthetic assessment can be helpful in prevention of laparoscopic complications. Whenever necessary, the conversion to open should not be delayed.

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Section: Intraoperative Complicationscontrasting

confidence: 54%

How Safe Is Laparoscopic Cholecystectomy? - A Review of 327 Patients

Shah¹,

Kumar²,

Pallavi³

et al. 2017

jemds

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“…In our experience, most common complications [29] reported portsite bleeding and extraperitoneal insufflations as the most common complications related to access for LC. Subcutaneous emphysema usually is due to leakage of gas from the site of trocar insertion and is more likely to occur when the patient is obese and gas is insufflated through a misdirected Veress needle.…”

Section: Follow-up Assessmentmentioning

confidence: 99%

Primary access-related complications in laparoscopic cholecystectomy via the closed technique: experience of a single surgical team over more than 15 years

Sasmal¹,

Tantia²,

Jain³

et al. 2009

Surg Endosc

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“…Bu durumu engellemek için değişik yöntemler ve hemostatik ajanlar kullanılmıştır. Trokar yerine uygun Surgicel (Johnson & Johnson Medical, Inc., Arlington, Texas) tampon kullanımı önerilmiştir 11 . Ayrıca trokar yerine foley kateter yerleştirilerek şişirilir ve aynı zamanda yumuşak bir çekiş ile tamponad uygulanabilir.…”

Section: Discussionunclassified

Laparoskopik cerrahinin gözden kaçabilen sorunu: trokar yeri kanaması

Dinçel

Başak

Kinaci

2016

Cukurova Medical Journal (Çukurova Üniversitesi Tıp Fakültesi Dergisi)

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AbstractÖz Purpose: Trocar site bleeding is a complication which can be overlooked and prevented if pay attention. It can lead to unwanted problems during surgery if not noticed. In our study, we aimed to investigate the problem that can be seen in every laparoscopic surgery. Material and Methods:We reviewed the cases who underwent laparoscopic cholecystectomy in our clinic between September 2012 -September 2015. Patients with trocar site bleeding after surgery were enrolled into the study. Demographic and postoperative follow-up data of patients were recorded. Results: Eight of 350 patients (2.3%) with laparoscopic cholecystectomy were taken diagnosis of intra-abdominal hemorrhage after postoperative examinations. Three of the patients were men and five were women, mean age was 45±15.9 (19-72). Four patients (M/W: 1/3) required reoperation to control bleeding and hematoma drainage. Medical supportive treatment was adequate for the remaining patients. The patients were discharged without any complication. Conclusion: Trocar site bleeding can be prevented by application of appropriate methods. In particular, special care should be taken when inserting and removing the trocars during the operation. During the entry of secondary trocars it should be accompanied by transillumination and at the end of the operation trocars should be removed from their places under direct vision.Amaç: Trokar yeri kanamaları gözden kaçabilen ve dikkat edilirse önlenebilir bir komplikasyondur. Ameliyat esnasında fark edilmez ise istenmeyen problemlere yol açabilir. Çalışmamızda her laparoskopik cerrahide görülebilecek bu problemi irdelemeyi amaçladık. Gereç ve Yöntem: Kliniğimizde 2012 Eylül -2015 Eylül arasında laparoskopik kolesistektomi yapılan hastalar tarandı. Ameliyat sonrasında trokar yeri kanaması olan hastalar çalışmaya alındı. Hastaların dosyalarında kayıtlı demografik verileri, uygulanan tedaviler ve takipleri incelendi. Bulgular: Laparoskopik kolesistektomi yapılan 350 hastanın sekiz tanesi (%2,3) ameliyat sonrasındaki incelemelerde batın içi kanama tanısı aldı. Hastaların üçü erkek, beşi kadın olup yaş ortalaması 45±15,9 (19-72) idi. Dört hastaya (E/K: 1/3) tekrar ameliyat gerekli görüldü, kanama kontrolü ve hematom drenajı yapıldı. Diğer dört hastaya medikal destek tedavisi yeterli oldu. Hastalar sorunsuz taburcu edildi. Sonuç: Trokar yeri kanamaları uygun yöntemler uygulandığı zaman önlenebilir. Özellikle operasyon esnasında trokar yerleştirilirken ve çıkartılırken dikkatli olunmalıdır. Trokar girişi esnasında ikincil trokarlar transilüminasyon eşliğinde konulmalı ve operasyon bittikten sonra trokarlar yerlerinden direkt görüş altında çıkarılmalıdır.

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Extra-biliary complications during laparoscopic cholecystectomy: How serious is the problem?

Cited by 13 publications

References 24 publications

How Safe Is Laparoscopic Cholecystectomy? - A Review of 327 Patients

How Safe Is Laparoscopic Cholecystectomy? - A Review of 327 Patients

Primary access-related complications in laparoscopic cholecystectomy via the closed technique: experience of a single surgical team over more than 15 years

Laparoskopik cerrahinin gözden kaçabilen sorunu: trokar yeri kanaması

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