title: Laparoscopic Gynae-oncological Procedures: Lessons Learnt After a Single Institution Audit of Complications and Their Management in 567 Consecutive Patients.
abstract: OBJECTIVE
  To retrospectively evaluate the complications of the laparoscopic pelvic surgeries and to formulate the guidelines to avoid them.
  
  
  METHODS
  Retrospective study (Canadian Classification).
  
  
  METHODS
  Advanced Laparoscopic Institute.
  
  
  METHODS
  Nine hundred and seven operated for gynecological malignancies.
  
  
  METHODS
  Laparoscopic surgeries.
  
  
  RESULTS
  567 women suffering from different pelvic conditions were studied in a period of 60 months. The median age of the patient was 35 (11-80). Complications occurred in 32 patients (32/567, 5.5 %). The overall incidence of urinary tract injury in all the advanced cases at our institute was 2.1 % (12/567). The incidence of bowel injury at our center was 1.76 %. The incidence of vascular injury at our institute was 1.76 % (10/567).
  
  
  CONCLUSIONS
  Laparoscopic complications are different than those seen following open surgeries. Anticipation, early recognition, and timely intervention help to reduce morbidity. Laparoscopic management of complications is possible. Formulating standard guidelines can help to avoid many such complications.
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: Shailesh P
authors.initials: SP
authors.lastname: Puntambekar
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: Geetanjali A
authors.initials: GA
authors.lastname: Agrawal
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: Saurabh N
authors.initials: SN
authors.lastname: Joshi
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: Neeraj V
authors.initials: NV
authors.lastname: Rayate
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: D N B
authors.initials: DN
authors.lastname: Saravana
authors.affiliation: The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
authors.forename: Avanish V
authors.initials: AV
authors.lastname: Deshmukh
keywords: Complications; Gynaecology; Laparoscopic surgery