Errors and complications in laparoscopic surgery
Background. In laparoscopic surgery errors are unavoidable and require proper acknowledgment to reduce the risk of intraoperative and accurately assess the appropriate therapeutic approach. Fortunately, their frequency is low and cannot overshadow the benefits of laparoscopic surgery. Materials and...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Digital ProScholar Media
2017-05-01
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| Series: | Journal of Clinical and Investigative Surgery |
| Subjects: | |
| Online Access: | https://www.proscholar.org/jcis/archive/2017/21/2733.pdf |
| _version_ | 1817997805834207232 |
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| author | Liviu Drăghici Mircea Lițescu Rubin Munteanu Constantin Pătru Carmen L. Gorgan Radu Mirică Isabela Drăghici |
| author_facet | Liviu Drăghici Mircea Lițescu Rubin Munteanu Constantin Pătru Carmen L. Gorgan Radu Mirică Isabela Drăghici |
| author_sort | Liviu Drăghici |
| collection | DOAJ |
| description | Background. In laparoscopic surgery errors are unavoidable and require proper acknowledgment to reduce the risk of intraoperative and accurately assess the appropriate therapeutic approach. Fortunately, their frequency is low and cannot overshadow the benefits of laparoscopic surgery. Materials and Methods. We made an epidemiological investigation in General Surgery Department of Emergency Clinical Hospital "St. John" Bucharest, analyzing 20 years of experience in laparoscopic surgery, during 1994-2014. We wanted to identify evolution trends in complications of laparoscopic surgery, analyzing the dynamic of errors occurred in all patients with laparoscopic procedures. Results. We recorded 26847 laparoscopic interventions with a total of 427 intra-or postoperative complications that required 160 conversions and 267 reinterventions to resolve inconsistencies. The average frequency of occurrence of complications was 15.9‰ (15.9 of 1,000 cases). In the period under review it was a good momentum of laparoscopic procedures in our department. Number of minimally invasive interventions increased almost 10 times, from 266 cases operated laparoscopically in 1995 to 2638 cases in 2008. Annual growth of the number of laparoscopic procedures has surpassed the number of complications. Conclusions. Laborious work of laparoscopic surgery and a specialized centre with well-trained team of surgeons provide premises for a good performance even in the assimilation of new and difficult procedures. |
| first_indexed | 2024-04-14T02:43:43Z |
| format | Article |
| id | doaj.art-a84e5600a8ee49d9b218dd9c6ef4c368 |
| institution | Directory Open Access Journal |
| issn | 2559-5555 |
| language | English |
| last_indexed | 2024-04-14T02:43:43Z |
| publishDate | 2017-05-01 |
| publisher | Digital ProScholar Media |
| record_format | Article |
| series | Journal of Clinical and Investigative Surgery |
| spelling | doaj.art-a84e5600a8ee49d9b218dd9c6ef4c3682022-12-22T02:16:40ZengDigital ProScholar MediaJournal of Clinical and Investigative Surgery2559-55552017-05-0121273310.25083/2559.5555.21.2733Errors and complications in laparoscopic surgeryLiviu Drăghici0Mircea Lițescu1Rubin Munteanu2Constantin Pătru3Carmen L. Gorgan4Radu Mirică5Isabela Drăghici 6Carol Davila University, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University, Faculty of General Medicine, Bucharest, RomaniaRegina Maria Hospital, Department of General Surgery, Bucharest, RomaniaCarol Davila University, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University, Faculty of General Medicine, Bucharest, RomaniaCarol Davila University, Faculty of General Medicine, Bucharest, RomaniaBackground. In laparoscopic surgery errors are unavoidable and require proper acknowledgment to reduce the risk of intraoperative and accurately assess the appropriate therapeutic approach. Fortunately, their frequency is low and cannot overshadow the benefits of laparoscopic surgery. Materials and Methods. We made an epidemiological investigation in General Surgery Department of Emergency Clinical Hospital "St. John" Bucharest, analyzing 20 years of experience in laparoscopic surgery, during 1994-2014. We wanted to identify evolution trends in complications of laparoscopic surgery, analyzing the dynamic of errors occurred in all patients with laparoscopic procedures. Results. We recorded 26847 laparoscopic interventions with a total of 427 intra-or postoperative complications that required 160 conversions and 267 reinterventions to resolve inconsistencies. The average frequency of occurrence of complications was 15.9‰ (15.9 of 1,000 cases). In the period under review it was a good momentum of laparoscopic procedures in our department. Number of minimally invasive interventions increased almost 10 times, from 266 cases operated laparoscopically in 1995 to 2638 cases in 2008. Annual growth of the number of laparoscopic procedures has surpassed the number of complications. Conclusions. Laborious work of laparoscopic surgery and a specialized centre with well-trained team of surgeons provide premises for a good performance even in the assimilation of new and difficult procedures.https://www.proscholar.org/jcis/archive/2017/21/2733.pdfminimally invasive proceduresconversionmorbid obesitybariatric surgeryperformance |
| spellingShingle | Liviu Drăghici Mircea Lițescu Rubin Munteanu Constantin Pătru Carmen L. Gorgan Radu Mirică Isabela Drăghici Errors and complications in laparoscopic surgery Journal of Clinical and Investigative Surgery minimally invasive procedures conversion morbid obesity bariatric surgery performance |
| title | Errors and complications in laparoscopic surgery |
| title_full | Errors and complications in laparoscopic surgery |
| title_fullStr | Errors and complications in laparoscopic surgery |
| title_full_unstemmed | Errors and complications in laparoscopic surgery |
| title_short | Errors and complications in laparoscopic surgery |
| title_sort | errors and complications in laparoscopic surgery |
| topic | minimally invasive procedures conversion morbid obesity bariatric surgery performance |
| url | https://www.proscholar.org/jcis/archive/2017/21/2733.pdf |
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