Bacteremia after diagnostic conventional laparoscopy and minilaparoscopy: a prospective study in 100 patients.
OBJECTIVE
Diagnostic laparoscopy under sedoanalgesia is a valuable tool in the work-up of liver diseases and is helpful as a staging procedure. The rate of bacteremia caused by this procedure is unknown, in particular when performed as minilaparoscopy.


METHODS
A 100 consecutive patients having undergone diagnostic laparoscopy carried out either conventionally (group I, n=50) or as minilaparoscopy (group II, n=50) were prospectively enrolled in this study. Blood cultures were drawn before and within 5 minutes after the procedure. Risk factors for bacteremia were evaluated.


RESULTS
Bacterial growth occurred in 4 blood cultures drawn immediately after laparoscopy. No patient developed fever or other signs of infection in the follow-up. Risk factors predisposing to bacteremia could not be identified.


CONCLUSIONS
Conventional diagnostic laparoscopy under sedoanalgesia and minilaparoscopy are associated with a low rate of bacteremia as in diagnostic upper endoscopy.
Weickert
Uwe
U
Department of Internal Medicine C, Ludwigshafen Hospital, Academic Hospital of the University of Mainz, Germany. weickeru@klilu.de
Vetter
Stephan
S
Burkhardt
Ulrich
U
Eickhoff
Axel
A
Bühl
Anette
A
Riemann
Jürgen Ferdinand
JF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000453:epidemiology* / Q000382:microbiology*; D001769:Blood / Q000382:microbiology; D003470:Culture Media; D005260:Female; D016908:Gram-Positive Bacterial Infections / Q000453:epidemiology / Q000382:microbiology; D006095:Gram-Positive Cocci / Q000145:classification / Q000302:isolation & purification; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
D003470:Culture Media