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

Sasmal, Prakash Kumar; Tantia, Om; Jain, Mayank; Khanna, Shashi; Sen, Bimalendu

doi:10.1007/s00464-009-0437-z

Cited by 18 publications

(13 citation statements)

References 30 publications

(35 reference statements)

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“…Complication reports in literature are very similar to the ones presented in our population (0.76%) [1] [4] [10]. Total incidence of vascular lesions was 0.13%, higher to the reported in general literature, but with 0% mortality.…”

Section: Discussionsupporting

confidence: 69%

Comparison of the Incidence of Complications among the Different Techniques of Laparoscopic Approach: Experience in a General Surgery Service in a Private Hospital

Valdez-Durón¹,

Fernandez-Alvarez²,

González-Chávez³

et al. 2018

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Introduction: At least four techniques or approaches to minimize the risk of injury have been introduced. The correlation between techniques and the complication rate is controversial. The objective of the study is to report the incidence of laparoscopic entry associated injury, in relation to the used technique. Material and Methods: A retrospective study was conducted at the Hospital Español, in a 12-month period (2013). The medical records of all patients who underwent laparoscopic surgery were reviewed. Demographic and surgical variables were analyzed, comparing the results statistically through an analysis of variance (ANOVA). Results: A total of 792 cases were analyzed. The surgeries performed were: cholecystectomies (42%), appendectomies (26%), diagnostic laparoscopies (20%), ventral or inguinal hernioplasty (9%) and fundoplications (3%). The preferred approach was Hasson's (79%) and Veres's needle technique (14%), followed by classic closed (14%) and Palmer technique (2%). We documented six cases of laparoscopic entry associated injury (0.76%), four associated with the Hasson technique, one with Veress's needle technique and one with direct approach technique were reported. The statistical analysis was performed considering the different techniques and their relation with the injuries. Analysis of variance did not reach statistical significance (p = 0.31). Conclusions: Among our data, the number of laparoscopic entry associated injuries, was less than 1%, and has a similar frequency to the reported literature. We did not find significant differences between the four laparoscopic entry techniques. There remains no clear eviHow to cite this paper: Valdez-Durón, M., Fernández-Álvarez, J., González-Chávez, A.M.,

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Section: Discussionsupporting

confidence: 69%

Comparison of the Incidence of Complications among the Different Techniques of Laparoscopic Approach: Experience in a General Surgery Service in a Private Hospital

Valdez-Durón¹,

Fernandez-Alvarez²,

González-Chávez³

et al. 2018

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“…The bowel injuries as reported by various studies are Southern surgeons club (0.3%), Dezial et al (0.14%-0.08%), Sasmal et al (0.07%). 2,8,19 We also had a complication of duodenal injury, during the procedure which was detected at that time and was reaired at the same time with favourable outcomes. Vagenas et al reported injury to 2nd part of duodenum in one (0.08%) patient.…”

Section: Resultsmentioning

confidence: 99%

Patterns of complications and outcome of laparoscopic cholecystectomy

et al. 2020

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Background: Cholelithiasis is known to be one of the most common biliary pathologies. Laparoscopic cholecystectomy is the gold standard for the removal of the gallbladder, because of its cosmetic benefit, short stay, cost-effective and lesser side effects. But no procedure is immune to complications and other procedure-related side effects. The present study was conducted to study the patterns of complications and outcome of laparoscopic cholecystectomy.Methods: the present study was conducted prospectively on patients undergoing laparoscopic cholecystectomy for symptomatic gall bladder pathology. the patients undergoing laparoscopic cholecystectomy were distributed and analysed on various parameters i.e. age, sex, ultrasound abdomen findings, complications related to access, per-operative condition of gallbladder, per-operative and postoperative complication.Results: In our study cases major complication rate 1% leading to biliary stricture for which hepaticojejunostomy was done, minor complication rate 11% and conversion to open cholecystectomy rate 2%.Conclusions: It is concluded that laparoscopic cholecystectomy is the safe and standard procedure for the laparoscopic cholecystectomy and its major complication are preventable by strictly following the basic principles of laparoscopic cholecystectomy and keeping a low level of the threshold for converting to open cholecystectomy.

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“…3 Among the different methods of primary access in laparoscopy, the popular ones being the Veress needle and Hasson's technique. 4 The Veress needle technique is still being used by many surgeons and gynecologist as an gold standard technique 5,6 while others recommend the open method of access as gold standard. Some studies have shown…”

Section: Introductionmentioning

confidence: 99%

Veress Needle: A Safe Technique in Modern Laparoscopic Era

Kumar¹,

Bhaduri²,

Ansari³

et al. 2013

WJOLS

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

Abstract: Primary access-related complications during LC are common and can prove to be fatal if not identified early. The incidence of these injuries with closed methods is no greater than with open methods. No evidence suggests abandonment of the closed-entry method in laparoscopy.

Cited by 18 publications

References 30 publications

Comparison of the Incidence of Complications among the Different Techniques of Laparoscopic Approach: Experience in a General Surgery Service in a Private Hospital

Comparison of the Incidence of Complications among the Different Techniques of Laparoscopic Approach: Experience in a General Surgery Service in a Private Hospital

Patterns of complications and outcome of laparoscopic cholecystectomy

Veress Needle: A Safe Technique in Modern Laparoscopic Era

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