Clinical Problems and Complications of LaparoscopicAccess

Overview

Objective:
To analyse entry - related laparoscopic technique and complications.Design: Literary review.Setting: Department Gynaecology and Obstetrics, Endoscopic Training Centre, Hospital Kladno.Method: Peri- and postoperative complications of laparoscopic entry were assessed and analysedfrom database Medline and Current ContentsResults: There is helpful to classify intra-abdominal entry complications occuring after laparosco-py into the two types (type I and II). The risk of bowel damage, calculated from analysed studieswas 0.4/1 000 and for major vessel injuries the risk was 0.2/1 000.Conclusion: The need to perforate the abdominal wall to perform laparoscopic intraabdominalsurgery will probably always be associated with risk of damaging structures beneaeth. With goodtechniques and appropriate case selection, this risk of such complications should be occure lessthan 1 per 1 000 laparoscopies. None of the existing techniques or technologies completely elimi-nate the risk of type II damage.

Key words:
complications, laparoscopy