Complications of Laparoscopic Surgery

In this article, we will discuss various Complications of Laparoscopic Surgery. So, let’s get started.

Complications of Laparoscopic Surgery

The enthusiasm for laparoscopic surgery has been tempered somewhat with the reports of unique complications associated with this approach. Complications of laparoscopic surgery can be grouped into the following three categories:

1. Complications of access: Complications of access or trocar entry include: hollow or solid viscous perforation, abdominal wall or major vessel injury, incisional hernia and peritoneal tumor cell implantation.

2. Physiologic complications of the pneumoperitoneum: The alterations caused by the pneumoperitoneum (raised intraabdominal pressure and physiological effects especially within cardiovascular and respiratory systems), which have significant effects on the patient, it may cause some complications such as severe hypercarbia, cardio-pulmonary compromise, air embolism or gas migration (subcutaneous emphysema, pneumomediastinum and pneumothorax).

3. Complications of the operative procedure: Haemorrhage, vascular injury, retroperitoneal hematoma, bile leak, bile duct injury, bile peritonitis (with or without a bile duct injury).

4. Postoperative complications: Intestinal perforation, bile leak, retroperitoneal hematoma, pancreatitis, subhepatic abscess and postoperative air embolism.

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