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Surgical complications of laparoscopic urological surgery.

Lasser MS, Ghavamian R - Arab J Urol (2012)

Bottom Line: As surgical volumes increase, the incidence and magnitude of complications have increased progressively.Meticulous surgical technique, surgeon experience, and a high degree of suspicion are necessary throughout the surgical endeavour.The intraoperative recognition and management of complications is mandatory.

View Article: PubMed Central - PubMed

Affiliation: Section of Minimally Invasive and Robotic Urologic Surgery, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.

ABSTRACT

Objectives: To describe the incidence, identification and management of common intraoperative complications, including vascular, urological, bowel and visceral complications, of laparoscopic urological surgery.

Methods: We searched the databases of PubMed and Medline for relevant English language reports, using the keywords 'laparoscopy', 'urologic' and 'complication'.

Results: The search yielded 967 papers in all, and a review of these yielded a total of 42 relevant papers.

Conclusion: Despite its advantages, laparoscopic urological surgery is associated with complications having rates as high as 22%. As surgical volumes increase, the incidence and magnitude of complications have increased progressively. Meticulous surgical technique, surgeon experience, and a high degree of suspicion are necessary throughout the surgical endeavour. The intraoperative recognition and management of complications is mandatory.

No MeSH data available.


Related in: MedlinePlus

A patient presenting after LPN, with haemorrhage. (A) A renal angiogram showing an arteriovenous fistula and several pseudo-aneurysms. (B) A renal angiogram after intervention with selective angio-embolisation.
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f0005: A patient presenting after LPN, with haemorrhage. (A) A renal angiogram showing an arteriovenous fistula and several pseudo-aneurysms. (B) A renal angiogram after intervention with selective angio-embolisation.

Mentions: CT during the arterial phase, an angiogram, or Doppler ultrasonography can reliably identify these complications [28]. When their presence is suspected, renal angiography has the added advantage of providing both better anatomical detail and a therapeutic intervention with selective angio-embolisation (Fig. 1). This is the least invasive therapy and should be routinely implemented as the initial intervention. If angio-embolisation is not available or fails to provide adequate vascular control, surgical intervention with either renorrhaphy or nephrectomy is warranted.


Surgical complications of laparoscopic urological surgery.

Lasser MS, Ghavamian R - Arab J Urol (2012)

A patient presenting after LPN, with haemorrhage. (A) A renal angiogram showing an arteriovenous fistula and several pseudo-aneurysms. (B) A renal angiogram after intervention with selective angio-embolisation.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4442892&req=5

f0005: A patient presenting after LPN, with haemorrhage. (A) A renal angiogram showing an arteriovenous fistula and several pseudo-aneurysms. (B) A renal angiogram after intervention with selective angio-embolisation.
Mentions: CT during the arterial phase, an angiogram, or Doppler ultrasonography can reliably identify these complications [28]. When their presence is suspected, renal angiography has the added advantage of providing both better anatomical detail and a therapeutic intervention with selective angio-embolisation (Fig. 1). This is the least invasive therapy and should be routinely implemented as the initial intervention. If angio-embolisation is not available or fails to provide adequate vascular control, surgical intervention with either renorrhaphy or nephrectomy is warranted.

Bottom Line: As surgical volumes increase, the incidence and magnitude of complications have increased progressively.Meticulous surgical technique, surgeon experience, and a high degree of suspicion are necessary throughout the surgical endeavour.The intraoperative recognition and management of complications is mandatory.

View Article: PubMed Central - PubMed

Affiliation: Section of Minimally Invasive and Robotic Urologic Surgery, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.

ABSTRACT

Objectives: To describe the incidence, identification and management of common intraoperative complications, including vascular, urological, bowel and visceral complications, of laparoscopic urological surgery.

Methods: We searched the databases of PubMed and Medline for relevant English language reports, using the keywords 'laparoscopy', 'urologic' and 'complication'.

Results: The search yielded 967 papers in all, and a review of these yielded a total of 42 relevant papers.

Conclusion: Despite its advantages, laparoscopic urological surgery is associated with complications having rates as high as 22%. As surgical volumes increase, the incidence and magnitude of complications have increased progressively. Meticulous surgical technique, surgeon experience, and a high degree of suspicion are necessary throughout the surgical endeavour. The intraoperative recognition and management of complications is mandatory.

No MeSH data available.


Related in: MedlinePlus