Professional paper
Complications of the urgent abdominal laparoscopic procedures and potential conversion to the conventional surgical procedure
Dubravka Bušić
Željko Bušić
Igor Stipanćić
Bojan Dojčinović
Vlatka Bušić
Domagoj Lemac
Abstract
The popularity of laparoscopic procedures is increasing in the emergency surgical care, depending on equipment and surgical training. Materials and methods: In our Department, in the year 2003, the authors performed 902 surgical procedures. The procedures were
completed by laparoscopy in 276 (30%) patients. 63 (22%) of the laparoscopic procedures were urgent procedures. 36 patients underwent laparoscopic cholecystectomy as treatment of the acute cholecystitis, 12 underwent laparoscopic appendectomy because of acute appendicitis, 2 patients underwent laparoscopic cystectomy of the ovarian cysts with haemostasis and electrocoagulation, 5 patients
had perforated duodenal ulcer and we made sutures with omentoplasty, 3 patients underwent laparoscopic exploration because of abdominal trauma, 1 patient underwent laparoscopic haemostasis of bleeding spleen, 1 patient underwent laparoscopic setting of Pudenz drain because of hydrocephalus and 3 patients underwent aparoscopic drainage and lavage because of adnexitis and pelveoperitonitis.
Results: 4 (6%) laparoscopic procedures had to be converted to conventional surgical procedures. 3 (4,7%) patients had surgical complications.
One patient who underwent laparoscopic cholecystectomy had inflammation of supraumbilical incision because of gangrenous
cholecystitis. One patient had abdominal wall bleeding after removing supraumbilical port, and one patient had paralytic ileus after laparoscopic appendectomy. Conclusion: The popularity of laparoscopic procedures is increasing due to the apparent advantages of the procedure even in the emergency care. As a prevention of wound infection it is always recommended to use a plastic bag when removing an inflamed billiar cyst or an appendix. As a prevention of abdominal wall bleeding it is always recommended to make a laparoscopic diascopy of abdominal wall when setting laparoscopic ports.
Keywords
Laparoscopic procedures; Complications; Conversions; Abdomen
Hrčak ID:
190689
URI
Publication date:
1.12.2002.
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