Complicaciones en la laparoscopia

Abstract

AimTo determine the incidence of complications of laparoscopic surgical techniques DesignRetrospective observational study MethodThe gynecological history of patients undergoing laparoscopic surgery between January 1991 and December 1999 were reviewed, including the type of surgical intervention and nature of the complication. Complications were considered to be any unexpected intraoperative or postoperative event requiring subsequent treatment ResultsA total of 3,504 laparoscopic procedures were carried out. Of these, 2,135 (60.7%) were surgical laparoscopies, 1,026 (20.2%) were diagnostic and 343 (9.8%) were tubule sterilizations. Total morbidity was 8.56% (30 complications). No deaths occurred. The percentage of complications was 13.58% (29) in laparoscopic surgery and 0.28% (1) in diagnostic laparoscopy. In 10 patients, surgical complications required conversion to laparoscopy (2.85%), the main cause being intestinal lesions. Four patients (1.14%) underwent reoperation, three for intestinal lesions and one for ureteral lesions ConclusionsLaparoscopy is not a risk-free technique. Most complications occur during surgery. The diversity of surgeons and residents' training programs increases the percentage of complications, mainly in the pneumoperitoneum due to the insertion of a Veress needle or the first trocar needle. Consequently, laparoscopic techniques should be standardized and patients should be selected to identify those most at risk in order to maximize precautions and prevent surgical complications