Mechanism, management, and prevention of laparoscopic bowel injuries

Laparoscopic cholecystectomy: early and late complications and their treatment

“…They often remain undetected during the operation. The incidence in our unit is 0.07%-0.7% [110], Bishoff reported 0.87% during laparoscopic urological procedures [111]. In the nationwide survey of the Swiss group 19 visceral organ injuries are reported among 14,243 laparoscopic procedure [18].…”

Inter- and intraindividual variabilities of perforation forces of human and pig bowel tissue

“…Although the incidence is relatively low (0.07-0.7%), morbidity and mortality rates of this complication are high, having been reported up to 20% [1,8]. A perforation can be caused by a trocar, a Veress needle, a coagulation hook, a grasping forceps, or scissors.…”

Management of Descending Duodenal Injuries Secondary to Laparoscopic Cholecystectomy

“…Deziel et al [4] reported significant complications in 2% of 77,604 patients who underwent laparoscopic cholecystectomy performed by 5,358 surgeons. The incidence of bowel injuries secondary to laparoscopic cholecystectomy was 0.07–0.9% of cases [1,4,5,6,7]. Table 2 shows an overall incidence of 0.04% (range 0.01–4%) of duodenal injuries secondary to laparoscopic cholecystectomy in review of literature.…”

“…Bowel injury resulting from trocar puncture is usually readily recognized and promptly repaired, whereas thermal injury is often overlooked in the course of the procedure and may manifest itself later as a consequence of coagulation necrosis of the bowel wall as a delayed or walled-off perforation days or weeks [4, 5, 8]. A delay in diagnosis may result in sepsis and peritonitis, contributing to the relatively high associated mortality [8, 9].…”