Complications of microlaparoscopy and awake laparoscopy.
Complications of laparoscopy are categorized into trocar insertion complications, complications resulting from image quality, and complications resulting from instrumentation. Microlaparoscopy also has similar complications and additional complications when being performed in the awake patient. Each of these complications is reviewed as they apply to microlaparoscopy. The results reveal that the seriousness of the complication is directly dependent on the size of the perforation. Therefore, surgeons' reluctance to downsize the instruments used is increasing the laparoscopy complication rate. Using smaller-diameter trocars and instruments reduces laparoscopic complication rates.
Demco
Larry
L
University of Calgary, Calgary, Alberta, Canada. larrydemco@shaw.ca
D016292:Procedural Sedation; D003243:Consciousness; D006801:Humans; D007267:Injections / Q000009:adverse effects; D007422:Intestines / Q000293:injuries; D007430:Intraoperative Care; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000009:adverse effects*; D008866:Microsurgery / Q000009:adverse effects*; D020069:Shoulder Pain / Q000209:etiology; D013525:Surgical Instruments; D001743:Urinary Bladder / Q000293:injuries