Trocar Injuries in Laparoscopic Surgery

Bhoyrul, Sunil; Vierra, Mark A.; Nezhat, Camran; Krummel, Thomas M.; Way, Lawrence W.

doi:10.1016/s1072-7515(01)00913-9

Cited by 231 publications

(32 citation statements)

References 13 publications

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“…These factors could be either surgeon related, patient related or related to faulty instruments and are tabulated as Table 3. [2525–29]…”

Section: Resultsmentioning

confidence: 99%

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Kaushik

2010

J Min Access Surg

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BACKGROUND:Laparoscopic cholecystectomy (LC) has established itself firmly as the ‘gold standard’ for the treatment of gallstone disease, but it can, at times, be associated with significant morbidity and mortality. Existing literature has focused almost exclusively on the biliary complications of this procedure, but other complications such as significant haemorrhage can also be encountered, with an immediate mortality if not recognized and treated in a timely manner.MATERIALS AND METHODS:Publications in English language literature that have reported the complication of bleeding during or after the performance of LC were identified and accessed. The results thus obtained were tabulated and analyzed to get a true picture of this complication, its mechanism and preventive measures.RESULTS:Bleeding has been reported to occur with an incidence of up to nearly 10% in various series, and can occur at any time during LC (during trocar insertion, dissection technique or slippage of clips/ ligatures) or in the postoperative period. It can range from minor haematomas to life-threatening injuries to major intra-abdominal vessels (such as aorta, vena cava and iliacs).CONCLUSION:Good surgical technique, awareness and early recognition and management of such cases are keys to success when dealing with this problem.

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“…These factors could be either surgeon related, patient related or related to faulty instruments and are tabulated as Table 3. [2525–29]…”

Section: Resultsmentioning

confidence: 99%

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Kaushik

2010

J Min Access Surg

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“…The Food and Drug Administration (FDA) reported 639 trocar-related complications from 1993 to 1996. Bowel injuries accounted for 134 (21%) of these cases [11], and six (4.5%) injuries were unrecognized and resulted in patient death.…”

Section: Utility and Discussionmentioning

confidence: 99%

Gastrointestinal Complications of Laparoscopic/Robot-Assisted Urologic Surgery and a Review of the Literature

Karadağ¹,

Çeçen²,

Demir³

et al. 2015

J Clin Med Res

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Gastrointestinal injuries that occur during or after laparoscopic and robot-assisted surgery are serious side effects that affect patient outcome. In this review, we attempt to highlight the identification, incidence and management of gastrointestinal and visceral complications of laparoscopic and robot-assisted surgery. A search of Medline and PubMed databases was performed using the following terms: gastrointestinal complications of laparoscopy, laparoscopic, kidney and robotic surgery. A total of 1,072 papers related to the subject were analyzed. Forty-six of these papers were included in the present review. These papers reported high numbers of participants and had a high level of evidence. Gastrointestinal complications during laparoscopic and robot-assisted surgery are rare, but similar, and can occur at any time between access and closure. Despite their infrequency, these complications can result in mortality. The early recognition and management of gastrointestinal complications is very important. Unrecognized or delayed identification of gastrointestinal complications may cause sepsis and death.

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“…Trocar and Veress needle injuries account for the majority of avoidable serious complications at entry. The mortality rate from those complications averages 5% and most commonly involves injuries to the common iliac vessels, aorta, and inferior vena cava [6]. Concomitant presence of pelvic adhesions and other pelvic masses distort the pelvic anatomy and therefore can predispose the bowel or other pelvic structures to injury during laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Successful Laparoscopic Management of Ruptured Tubal Pregnancy with an Ipsilateral Ectopic Pelvic Kidney

Belotte

Alexis

et al. 2014

Case Reports in Obstetrics and Gynecology

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Objective. To report a case of successful laparoscopic management of a left ruptured tubal pregnancy in the setting of an ipsilateral ectopic pelvic kidney. Method. Case report was prepared at Wayne State University/Detroit Medical Center. The patient is a young woman gravida 2 para 0 in her twenties who presented with severe abdominal pain and vaginal bleeding. She had a plateaued beta HCG and ultrasonographic findings suggestive of ectopic left tubal pregnancy along with an ectopic ipsilateral pelvic kidney. The IRB approval is not needed, as this is a case report. The informed consent could not be obtained, as the patient was not reachable. Result. Multiple intraperitoneal adhesions, left ruptured ampullary ectopic pregnancy and left retroperitoneal pelvic mass consistent with ipsilateral ectopic pelvic kidney. Conclusion. Laparoscopic management of tubal pregnancy can be safely performed in the setting of an ipsilateral ectopic pelvic kidney.

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Trocar Injuries in Laparoscopic Surgery

Cited by 231 publications

References 13 publications

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Bleeding complications in laparoscopic cholecystectomy: Incidence, mechanisms, prevention and management

Gastrointestinal Complications of Laparoscopic/Robot-Assisted Urologic Surgery and a Review of the Literature

Successful Laparoscopic Management of Ruptured Tubal Pregnancy with an Ipsilateral Ectopic Pelvic Kidney

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