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Статті в журналах з теми "Laparoscopic surgery Complications":

1

Shastri, Shraddha S., Anvita A. Singh, Sameer P. Darawade, and Saloni D. Manwani. "Complications of gynaecologic laparoscopy: an audit." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 12 (November 2018): 4870. http://dx.doi.org/10.18203/2320-1770.ijrcog20184931.

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Background: Minimal access surgery as a modality of treatment for various gynecologic conditions is rapidly gaining grounds in the recent years1. Approximately 30 years after its introduction; the use of laparoscopy in gynecology has evolved from diagnostic purposes into a more coordinated system for the repair or removal of diseased abdominal and pelvic organs. The rapid increase in the number of procedures being performed, the introduction of new equipment, and variability in the training of surgeons all contribute to the complication rate. The objective is to review complications associated with laparoscopic gynecological surgeries and identify associated risk factors.Methods: Hospital based descriptive observational study performed between January 2013 to December 2017 which included all gynecologic laparoscopies performed in present institute. Variables were recorded for patient characteristics, indication for surgery, length of hospital stay (in days), major and minor complications, conversions to laparotomy and postoperative complications. The laparoscopic procedures were divided into three subgroups: Diagnostic cases, tubal sterilization and Advanced operative laparoscopy.Results: Of all 3724 laparoscopies included, overall frequency of major was 1.96 %, and that of minor complications was 3.51%. Of 3724 laparoscopic procedures, 214 complications occurred (5.8% of all procedures) and one death occurred. The level of technical difficulty and existence of prior abdominal surgery were associated with a higher risk of major complications and conversions to laparotomy.Conclusions: Laparoscopic surgery has many advantages, but it is not without complications. Despite rapidly improving technical equipment’s and surgical skill; complication rates and preventable injuries demonstrate continuous pattern. Delayed recognition and intervention add to morbidity and mortality. Each laparoscopic surgeon should be aware of the potential complications, how they can be prevented and managed efficiently.
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Zivaljevic, Milica, Ivan Majdevac, Petar Novakovic, and Tamara Vujkov. "The role of laparoscopy in gynecologic oncology." Medical review 57, no. 3-4 (2004): 125–31. http://dx.doi.org/10.2298/mpns0404125z.

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In some patients and when performed by a skillful surgeon, gynecologic oncologist familiar with advanced laparoscopic techniques, laparoscopy results with less surgical trauma, reduced blood loss and hospitalization, and faster recovery. The complication rate has been found to increase as the complexity of the operation rises, but it is not higher than in open surgery. Preliminary studies show that recurrence and survival rates are comparable to those reported for patients treated by a standard abdominal approach. Future randomized trials are necessary to deal with long term recurrences and survival data and benefits of laparoscopy in management of gynecologic malignancies. At our institution 97 cancer patients underwent laparoscopic procedures, without complications: explorative and staging laparoscopies with biopsies of ovaries, peritoneal biopsies, retroperitoneal and mesenteric tumors; second look laparoscopy, ovariectomy, laparoscopic assisted vaginal hysterectomy (LAVH). Advanced ovarian cancer was found in 3 patients and laparotomy was performed. No complications were stablished.
3

Doddamani, Rajalaxmi, Srikantaiah Chandrasekharaiah Hiremath, Zameer Ahmed, and Lahari Surapaneni. "Complications of laparoscopic surgery in general surgical practice and their management." International Surgery Journal 5, no. 4 (March 2018): 1233. http://dx.doi.org/10.18203/2349-2902.isj20180988.

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Background: Any new technique is associated with the development of new complication. Laparoscopic surgery has gained popularity over last 20 years, owing to many advantages for patients in terms of smaller scar, less post-operative pain and quicker recovery. Despite the relative safety of laparoscopic techniques, inadvertent serious injuries to bowel, bladder and vascular structures do occur. Therefore, the need has arisen to study the various complications and their management inherent in this technique. The objective was to determine percentage of complications in laparoscopic surgeries of abdomen and also to study their management.Methods: Inpatients of Ramaiah hospitals undergoing abdominal laparoscopic surgeries from October 2014 to October 2015 who are above 14 years of age and undergoing elective or emergency surgeries or diagnostic laparoscopy for acute/chronic appendicitis, cholelithiasis and inguinal hernia repair. Demographic information, clinical findings, intra operative and postoperative findings will be noted. Follow up of the patient is done for 4 weeks.Results: Out of the 272, 134(49.3%) were male patients and 138 (50.7%) were female patients, age group ranging between 31-40 years. Four patients (1.4%) showed CBD injury, three patients (1.1%) showed bowel injury, twelve (4.4%) showed bile leak, all these 9 (3.3%) patients were managed by converting the laparoscopic cholecystectomy into open cholecystectomy. Sixteen patients (5.9%) had laparoscopy converted into open procedure due to the intraoperative complications. Statistically significant impact was noted on the outcome of surgery due the complication that patient underwent during the study.Conclusions: Laparoscopy is a safe, effective and well tolerated procedure if conducted in the skilled and experienced hands. The morbidity and mortality are dependent on age, general condition, presence/ absence of comorbidities and hence preoperative thorough work up is imperative. Large proportions of these complications occur during the initial learning curve of the inexperienced laparoscopic surgeon.
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Cvijanovic, Radovan, and Dejan Ivanov. "Complications in laparoscopic surgery." Srpski arhiv za celokupno lekarstvo 136, Suppl. 2 (2008): 129–34. http://dx.doi.org/10.2298/sarh08s2129c.

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The development of technology and improvement of laparoscopic equipment enhanced expansion laparoscopic surgeries. Various operations performed using classical operative approach are nowadays done laparoscopic technique. The expansion of the repertoire, the performance of most complicated surgical procedures and increase in the number of laparoscopic interventions result in the increased number of intraoperative and postoperative complications. They occur due to the basic disease that is the cause of surgery and surgical procedure, but also due to other factors. We cannot influence the very disease - it is the reason for surgical treatment. However, we can make some changes in approach concerning the laparoscopic technique, which can considerably influence possible development of complications. This involves a different approach to the operative field, but also to very surgery. In laparoscopic surgery such approach causes specific intraoperative and postoperative complications. These complications are mainly caused by technical factors, such as the quality of the equipment, instruments and human factors, such as inexperience, insufficient education and excessive self-assurance. To decrease the frequency of intraoperative and postoperative complications in laparoscopic operations we require perfect equipment and instruments, education in a referent institution, but also everyday training with laparascopic equipment and experimental animals.
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Majhi, Harekrishna, Tapan Kumar Nayak, Sheik Salman Raghib, and Anand Seba Tirkey. "Assessment of Port Site Complications in Laparoscopic Surgery – A Prospective Descriptive Study from Western Odisha." Journal of Evidence Based Medicine and Healthcare 8, no. 24 (June 2021): 2106–11. http://dx.doi.org/10.18410/jebmh/2021/394.

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BACKGROUND Laparoscopic surgery has brought about a paradigm shift in modern surgical care. It has varied applications in gastrointestinal surgery, urological surgery, gynaecological surgery and oncosurgery. Better cosmesis, less post-operative pain, hence reduced need for post-operative analgesia, shorter recovery period and faster return to daily activities are its advantages. However, certain complications like port site infection, hemorrhage, hernia, TB or metastasis are morbid complications that undermine its benefits. In this study, we wanted to identify the various port site complications in patients undergoing laparoscopic surgery for different diseases in our hospital and assess its incidence. METHODS This is a prospective descriptive study. 125 patients admitted to the Department of General Surgery from November 2018 to October 2020 who fulfilled the inclusion and exclusion criteria underwent elective laparoscopic surgeries. They were observed post-operatively for various port site complications. All the data was entered into the Microsoft Excel 2007 software and further analysis was done using SPSS software version 24.0 (IBM Inc. Chicago). A P - value of less than 0.05 was considered statistically significant. RESULTS Of 125 patients that underwent laparoscopic surgery, 9 patients (7.2 %) developed complications specific to port site upon a follow-up of 3 months. Complications observed were port site infection (n = 4, 3.2 %), port site hemorrhage (n = 2, 1.6 %). Port site hernia, port site tuberculosis (TB), umblical port site hernia and mild subcutaneous emphysema were observed in one patient each (0.8 %). Scar abnormalitites were seen in 3 patients (2.4 %). CONCLUSIONS Laparoscopy is associated with minimal complications. However rare these complications are, they take away from the advantages of the laparoscopic surgery and the reputation of the hospital and surgeon alike. Apt patient selection, meticulous surgical technique, proper sterilization of the laparoscopic instruments and effective antibiotics use can further reduce the incidence of complications. KEYWORDS Laparoscopy, Port Site Complications, Infection, Hernia, Hemorrhage
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Nishii, O., H. Ohnuki, and O. Yoshino. "Complications of Laparoscopic Surgery." Journal of Minimally Invasive Gynecology 16, no. 6 (November 2009): S126. http://dx.doi.org/10.1016/j.jmig.2009.08.476.

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Crist, David W., and Thomas R. Gadacz. "Complications of Laparoscopic Surgery." Surgical Clinics of North America 73, no. 2 (April 1993): 265–89. http://dx.doi.org/10.1016/s0039-6109(16)45981-5.

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Hendrickson, Dean A. "Complications of Laparoscopic Surgery." Veterinary Clinics of North America: Equine Practice 24, no. 3 (December 2008): 557–71. http://dx.doi.org/10.1016/j.cveq.2008.09.003.

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Ledger, William L. "Complications of laparoscopic surgery." Obstetrics, Gynaecology & Reproductive Medicine 19, no. 7 (July 2009): 193–96. http://dx.doi.org/10.1016/j.ogrm.2009.03.004.

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Cuss, Amanda, and Jason Abbott. "Complications of laparoscopic surgery." Obstetrics, Gynaecology & Reproductive Medicine 22, no. 3 (March 2012): 59–62. http://dx.doi.org/10.1016/j.ogrm.2011.12.002.

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Дисертації з теми "Laparoscopic surgery Complications":

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Texler, Michael Lutz. "Aetiology of tumour cell movement during laparoscopic surgery : patterns of movement and influencing factors." Title page, table of contents and abstract only, 1999. http://web4.library.adelaide.edu.au/theses/09MD/09mdt355.pdf.

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Accompanying CD-ROM contains image files and software. Bibliography: leaves 259-286. Explores the factors affecting the movement of tumour cells from a primary malignancy across the peritoneal cavity to the port-site following laparoscopic intervention. Filter methods and radio-labelled tumour cells provided the most useful way of following cell movement. Concludes spread of tumour cells to the port-site is more likely in the presence of disseminated disease, as well as with inappropriate surgical technique. Metastasis may be reduced by the use of intraperitoneal lavage and appropriate surgical technique.
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Lindberg, Fredrik. "Carbon Dioxide Pneumoperitoneum - Hemodynamic Consequences and Thromboembolic Complications." Doctoral thesis, comprehensive summary, Uppsala University, Department of Surgical Sciences, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2587.

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The laparoscopic way of performing general surgical procedures was introduced all over the Western world in a few years around 1990. No previous scientific studies of the safety of this new way of performing general surgery had been undertaken.

In an animal study, it was shown that carbon dioxide pneumoperitoneum (CO2PP) causes an increase in inferior caval vein (ICV) pressure, although there were no effects on the ICV blood flow. There were gradual increases in systemic, pulmonary and ICV vascular resistance, which remained after exsufflation. These effects on vascular resistance could not be reproduced in a second animal study, presumably due to a different form of anesthesia. In this study, there was only indirect evidence of CO2 PP decreasing urine output. No increase in vasopressin, which is commonly seen during CO2 PP, was found, indicating that vasopressin may play a role in the decreased urine output during CO2 PP but that there must be other contributing factors as well. Only brief effects on the renal arterial blood flow were seen.Renal venous pressure increased to that of the ICV.

A literature review indicated that thromboembolic complications do occur after laparoscopic cholecystectomy (LC). The relative frequencies indicated an underreporting of deep vein thrombosis (DVT) in relation to pulmonary embolism (PE).

In a clinical study, activation of the coagulation after LC was demonstrated. There were differences between the groups receiving dextran and low molecular weight heparin as prophylaxis. A further clinical study showed the incidence of DVT, as demonstrated by phlebography, to be 2.0 % (95 % confidence interval 0-6.0 %) 7-11 days after LC, even though thromboembolism prophylaxis was given in shorter courses than those scientifically proven to be effective against DVT. D-dimer values increased at the first postoperative day and even further at the time of phlebography, suggesting that the effects of LC on coagulation and/or fibrinolysis may be of longer duration than previously known.

3

Mendes, João Filipe Antunes. "Comparison of clinical and physiologic parameters, complications, and techniques, between laparoscopic ovariectomy and ovariohysterectomy in dogs." MasterThesis, Universidade de Lisboa, Faculdade de Medicina Veterinária, 2019. http://hdl.handle.net/10400.5/18255.

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Dissertação de Mestrado Integrado em Medicina Veterinária
Gonadectomy is one of the most frequently performed surgical procedures in veterinary medicine, this can be achieved by several techniques, for example ovariohysterectomy (OVH) or laparoscopic ovariectomy (LapOVE). Given that these procedures are performed routinely, the objective of this work is to compare the parameters temperature and glucose, complications (intraoperative and post-operative), the time it takes to execute the surgical techniques and pain to evaluate if one is superior to the other. This study was done throughout the six months of traineeship at Kingston Veterinary Group at Park Street Hospital. To accomplish it, two groups were used, - the LapOVE with 14 animals and the OVH with 10 animals, in which the parameters above mention, were recorded and compared. We can conclude from the results obtained, that the time to prepare the patient, perform the surgical procedure and the total procedure is longer for the LapOVE group as opposed to the OVH group. To evaluate if there was a significant effect of the procedure over temperature and glucose a linear mixed model analysis was performed. There was a significant effect of the procedures over time on temperature levels (P <0.0003) with OVH having a less impact on the patient, given that the temperature before and after the surgery varied less. The procedure chosen had a significant effect on glucose P (<0.016). Which can mean less operative pain in the LapOVE procedure. Regarding post-operative pain, although a very slight difference existed in the first three hours after the patients were extubated, there were no major differences between the two procedures, even when the pain score in the OVH group was higher than the LapOVE. In the LapOVE group there were more intraoperative and postoperative complications. Even though the laparoscopic technique presented several advantages, for this specific procedure, gonadectomy, they were not substantial or important enough to choose performing a LapOVE over a conventional OVH.
RESUMO - Comparação de parâmetros clínicos e fisiológicos, complicações e técnicas entre ovariectomia por laparoscopia e ovariohisterectomia em cães - A gonadectomia é um dos procedimentos cirúrgicos realizados com maior frequência na medicina veterinária, podendo ser realizado por várias técnicas como por exemplo, a ovariohisterectomia (OVH) ou ovariectomia por laparoscopia (LapOVE). Uma vez que estes procedimentos são realizados por rotina na prática clínica, este trabalho tem por objetivo comparar os parâmetros temperatura e glucose, as complicações (intraoperatórias e pósoperatórias), os tempos de execução das técnicas cirúrgicas e dor para avaliar se alguma delas poderá ser superior à outra.. Este estudo decorreu ao longo de seis meses do estágio intracurricular no “Kingston Veterinary Group”, no Hospital de Park Street. Para o realizar utilizaram-se dois grupos, - o da LapOVE com 14 animais e o da OVH com 10 animais, nos quais se registaram e de seguida compararam os parâmetros já mencionados. Os resultados obtidos permitem verificar que o tempo necessário para preparar o paciente e para realizar a cirurgia, bem como o tempo total do procedimento foram superiores no grupo LapOVE do que no grupo OVH. Para se avaliar se houve um efeito significativo do procedimento sobre a temperatura e a glucose realizou-se uma análise com modelos lineares mistos, tendo-se verificado um efeito significativo do procedimento ao longo do tempo na temperatura (P <0.0003) tendo a OVH um menor impacto sobre o paciente pois a temperatura antes e depois da cirurgia variou menos. O procedimento escolhido teve um efeito significativo na glucose (P<0.016), o que poderá ser indicativo de menor dor cirúrgica no procedimento da LapOVE. Em relação à dor pós-cirúrgica, apesar de existir uma pequena diferença nas primeiras três horas após os pacientes serem extubados, não houve diferença pronunciada entre os dois procedimentos, mesmo quando a pontuação da dor no grupo OVH foi superior ao grupo LapOVE. No grupo LapOVE houve mais complicações intraoperatórias e pós-operatórias. Assim e apesar da técnica laparoscópica, apresentar algumas vantagens para este procedimento específico, a gonadectomia, as mesmas não são suficientemente fortes ou importantes para que se prefira a realização da LapOVE em vez de OVH convencional.
N/A
4

Hida, Koya. "Risk factors for complications after laparoscopic surgery in colorectal cancer patients : experience of 401 cases at a single institution." DAM, Kyoto University, 2009. http://hdl.handle.net/2433/126452.

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Jänes, Arthur. "Parastomal hernia : clinical studies on definitions and prevention." Doctoral thesis, comprehensive summary, Umeå universitet, Kirurgi, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-36142.

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The aims of the studies was to evaluate the short and long term effects on the development of parastomal hernia and stoma complications of a prophylactic prosthetic mesh placed in a sublay position at the index operation.  Also the purpose was to validate a definition of parastomal hernia at clinical examination and a method and a definition of parastomal hernia at CT-scan. In the first two studies 27 patients were randomized to a conventional stoma or to a stoma with the addition of a partly absorbable low weight large pore mesh in sublay position. Patients were examined after one and five years.  After five years the rate of parastomal hernia was 80% with a conventional stoma and 14% with the addition of a mesh.  A prophylactic mesh did not increase the rate of complications. In the third study a prophylactic mesh was intended at stoma formation in 93 consecutive patients in routine surgery. In 75 patients provided with a mesh the rate of parastomal hernia after one year was 13%. Complication rates were not increased in 19 severely contaminated wounds. In the fourth study 27 patients with ostomies were examined by tree surgeons and parastomal hernia was defined as any protrusion in the vicinity of the stoma. CT-scans with patients examined in the supine and prone positions were assessed by three radiologists. Herniation was then defined as any intra abdominal content protruding beyond peritoneum or the presence of a hernia sac. Kappa was 0.85 for surgeons and 0.85 for radiologists with CT-scan in the prone position. Kappa was 0.80 for surgeons and radiologists collectively, with CT-scan in the prone position. Four parastomal hernias detected at CT-scan in the prone position could not be detected in the supine position. A parastomal hernia diagnosed at clinical examination was always detected at CT-scan in the prone position. Conclusions: A prophylactic mesh placed in a sublay position at the index operation reduces the rate of parastomal hernia without increasing the rate of complications. Parastomal hernia should at clinical examination be defined as any protrusion in the vicinity of the stoma with the patient straining in the supine and erect positions.  At CT-scan, with the patient examined in the prone position, herniation should be defined as any intra abdominal content protruding beyond peritoneum or the presence of a hernia sac.
Embargo, publiceras 2011-05-01
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Barreta, Amilcar 1980. "Laparoscopia na abordagem inicial de tumores anexiais = Laparoscopy for diagnosis and treatment of adnexal tumors." PublishedVersion, [s.n.], 2012. http://repositorio.unicamp.br/jspui/handle/REPOSIP/312141.

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Orientadores: Sophie Françoise Mauricette Derchain, Joana Fróes Bragança Bastos
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-20T20:06:15Z (GMT). No. of bitstreams: 1 Barreta_Amilcar_M.pdf: 1818838 bytes, checksum: 256372229a80e175fc6ba44b44075f4f (MD5) Previous issue date: 2012
Resumo: Introdução: O câncer de ovário é o sétimo câncer mais comum em mulheres. A sensibilidade e especificidade dos exames laboratoriais e de imagem não são adequadas para o diagnóstico de câncer de ovário. Atualmente o padrão-ouro para o diagnóstico do câncer de ovário é o exame histopatológico em parafina. Por este motivo, aproximadamente 10% das mulheres terão que ser operadas devido a um tumor anexial durante sua vida. A laparoscopia é comumente usada na tentativa de reduzir a morbidade cirúrgica nestes casos. Objetivo: Avaliar as diferenças nas características clínicas, no diagnóstico histopatológico, na duração da cirurgia e na incidência de complicações cirúrgicas em mulheres submetidas à laparoscopia e à laparotomia para diagnóstico e tratamento de tumores anexiais, e avaliar os fatores associados à falha da laparoscopia (conversão à laparotomia). Sujeitos e métodos: Para este estudo prospectivo foram convidadas a participar 210 mulheres com tumor anexial, dentre as quais foram incluídas 133 mulheres com indicação cirúrgica. Oitenta e oito mulheres foram submetidas à laparotomia e 45 foram submetidas à laparoscopia. Catorze das 45 laparoscopias foram convertidas à laparotomia durante o procedimento cirúrgico. Foi avaliado se idade, índice de massa corpórea (IMC), número de cirurgias abdominais prévias, níveis do marcador tumoral CA-125, valores do Índice de Risco de Malignidade (IRM), maior diâmetro do tumor, diagnóstico histopatológico, duração da cirurgia e número de complicações cirúrgicas diferiram entre o grupo de mulheres submetidas à laparoscopia e o grupo submetido à laparotomia, e se estes fatores estiveram associados à conversão da laparoscopia em laparotomia. Foram também avaliados os motivos intraoperatórios para conversão da laparoscopia em laparotomia conforme relatado pelos cirurgiões nos registros cirúrgicos. Resultados: A prevalência de tumores malignos neste estudo foi de 30%. Os níveis do CA-125, os valores do IRM, o maior diâmetro do tumor e a duração da cirurgia foram maiores no grupo da laparotomia que no grupo da laparoscopia. A incidência de complicações foi similar quando comparados os grupos de laparotomia e laparoscopia e quando comparados os grupos de laparoscopias bem sucedidas com o grupo de laparoscopias convertidas à laparotomia. Quando foram analisadas mulheres com tumores anexiais benignos, a incidência de complicações foi menor no grupo da laparoscopia quando comparado ao grupo da laparotomia. Os fatores associados à falha da laparoscopia (conversão à laparotomia) foram o maior diâmetro do tumor e a presença de tumor maligno. Durante a laparoscopia, os principais motivos relatados nos registros cirúrgicos como causa de conversão em laparotomia foram: o diâmetro do tumor e a presença de aderências peritoneais. Conclusões: Este estudo sugere que o diâmetro do tumor, a presença de aderências peritoneais e a presença de um tumor maligno são as principais causas de conversão de uma laparoscopia em laparotomia. A conversão, entretanto, não aumenta a incidência de complicações cirúrgicas
Abstract: Introduction: Ovarian cancer is the seventh most common cancer in women. Imaging and laboratorial exams do not have adequate sensitivity and specificity to diagnose adnexal cancer. The gold-standard for adnexal cancer diagnose is the histopathological exam at paraffin section. For this reason about 10% of the women will have to be operated by an adnexal tumor during their lifetime. Laparoscopy is frequently used to reduce surgical morbidity at those cases. Objective: To assess the differences in clinical factors, histopathologic diagnose, operative time and complication rates between women undergoing laparoscopy or laparotomy to diagnose and treat an adnexal mass and to evaluate the factors that are associated with laparoscopy failure and conversion to laparotomy. Subjects and methods: In this prospective study, 210 women were invited to participate, of which 133 women with adnexal masses were included. Eighty-eight women underwent laparotomy and 45 women underwent laparoscopy. Fourteen of the 45 laparoscopies were further converted to laparotomy during the surgical procedure. We assessed whether age, body mass index (BMI), previous abdominal surgeries, CA-125 levels, Index of Risk of Malignancy (IRM), tumor diameter, histological diagnose, operative time and surgical complication rates differed from laparoscopy to laparotomy group and whether those factors were associated with conversion of laparoscopy to laparotomy. We also assessed surgical logs to evaluate the intraoperative reasons, as stated by the surgeons, to convert a previously indicated laparoscopy to laparotomy. Results: 30% of women at our study had malignant tumors. CA-125 levels, IRM values, tumor diameter and operative times were higher for the laparotomy group compared to the laparoscopy group. Complication rates were similar for the laparoscopy and laparotomy groups and also for successful laparoscopy and laparoscopy converted to laparotomy groups. Surgical complication rate in women with benign tumors was lower for the laparoscopy group compared to that for the laparotomy group. The clinical factors associated with laparoscopy failure (conversion to laparotomy) were the largest tumor diameter and malignancy. During laparoscopy, adhesions and the largest tumor diameter were the principal factors reported as causes of conversion. Conclusions: This study suggests that tumor diameter, peritoneal adhesions and the presence of a malignant tumor were the principal causes of laparoscopy conversion to laparotomy. However the conversion did not increase complication rates
Mestrado
Oncologia Ginecológica e Mamária
Mestre em Ciências da Saúde
7

Neuhaus, Susan J. "Tumour metastasis and dissemination during laparoscopic surgery." 2000. http://web4.library.adelaide.edu.au/theses/09PH/09phn485.pdf.

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Copies of author's previously published articles enclosed. Bibliography: leaves 217-258. Examines recent literature which describes cases of metastatic involvement of laparoscopic port sites, not only in patients with advanced tumors but in patients with early stage carcinoma, and even in patients following laparoscopic procedures during which tumors were not disturbed. This thesis utilises an established small animal model to investigate the aetiology of port site metasrases and the efficacy of preventative strategies in reducing tumor implantation following laparoscopy.
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Neuhaus, Susan Josephine. "Tumour metastasis and dissemination during laparoscopic surgery / by Susan J. Neuhaus." 2000. http://hdl.handle.net/2440/19723.

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Copies of author's previously published articles enclosed.
Bibliography: leaves 217-258.
xxiv, 258 leaves : ill. ; 30 cm.
Title page, contents and abstract only. The complete thesis in print form is available from the University Library.
Examines recent literature which describes cases of metastatic involvement of laparoscopic port sites, not only in patients with advanced tumors but in patients with early stage carcinoma, and even in patients following laparoscopic procedures during which tumors were not disturbed. This thesis utilises an established small animal model to investigate the aetiology of port site metasrases and the efficacy of preventative strategies in reducing tumor implantation following laparoscopy.
Thesis (Ph.D.)--University of Adelaide, Dept. of Surgery, 2000?
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Bhagirathee, Pravina Devi. "Patients' and nurses' knowledge and understanding of laparoscopic surgery." 2013. http://hdl.handle.net/10500/11968.

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A quantitative descriptive study was conducted to establish professional nurses’ and patients’ knowledge and understanding of laparoscopic surgery and to determine whether nurses are sufficiently knowledgeable to disseminate adequate information about laparoscopic surgery to patients. Two state hospitals based in KwaZulu-Natal where laparoscopic surgery is done were selected and the respondents were selected through convenience sampling. Data were collected by administering questionnaires to theatre nurses (n=39), ward nurses (n=87) and patients (n=42) scheduled for laparoscopic surgery. The SPSS version 15 for Windows was used to compute the results. The findings revealed that the professional nurses were not sufficiently knowledgeable about laparoscopic surgery to give adequate information to patients and the patients themselves were not fully informed about all aspects of laparoscopic surgery including the possibility of conversion to open surgery, complications and advantages and after care. There is therefore a dire need for improvement of patient education to assist patients gaining optimal recovery
Health Studies
M.A. (Health Studies)

Книги з теми "Laparoscopic surgery Complications":

1

Avci, Cavit, and José M. Schiappa, eds. Complications in Laparoscopic Surgery. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-19623-7.

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2

Ghavamian, Reza. Complications of laparoscopic and robotic urologic surgery. New York: Springer, 2010.

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3

Ghavamian, Reza, ed. Complications of Laparoscopic and Robotic Urologic Surgery. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-60761-676-4.

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4

Gill, Inderbir S., and Ahmed M. Al-Kandari. Difficult conditions in laparoscopic urologic surgery. London: Springer, 2010.

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5

Hockey, Richard. Laparoscopic cholecystectomy: Morbidity and mortality, Western Australia, 1988-1993. Perth: Epidemiology Branch, State Health Purchasing Authority, Health Dept. of Western Australia, 1995.

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6

Cooperman, Avram M. Laparoscopic cholecystectomy: Difficult cases & creative solutions. St. Louis, Mo: Quality Medical Pub., 1992.

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7

Complications of laparoscopic surgery. St. Louis, Mo: Quality Medical Pub., 1995.

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8

Ramakumar, Sanjay, and Thomas W. Jarrett, eds. Complications of Urologic Laparoscopic Surgery. CRC Press, 2005. http://dx.doi.org/10.1201/b14116.

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9

Complications of urologic laparoscopic surgery. Boca Raton: Taylor & Francis, 2005.

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10

Ghavamian, Reza. Complications of Laparoscopic and Robotic Urologic Surgery. Springer, 2014.

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Частини книг з теми "Laparoscopic surgery Complications":

1

Shin, Joongho, and Sang W. Lee. "Laparoscopic Complications." In Complexities in Colorectal Surgery, 477–86. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-9022-7_31.

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Oddsdottir, Margret. "Avoidance of Complications in Laparoscopic Cholecystectomy." In Laparoscopic Surgery, 3–12. New York, NY: Springer New York, 1999. http://dx.doi.org/10.1007/978-1-4612-1408-3_1.

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Tiwari, Ankur. "Stoma and Its Complications." In Laparoscopic Colorectal Surgery, 29–33. First edition. | Boca Raton, FL : CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9780429330377-6.

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4

Cooperman, Avram M. "Complications of Laparoscopic Surgery." In Principles of Laparoscopic Surgery, 71–77. New York, NY: Springer New York, 1995. http://dx.doi.org/10.1007/978-1-4612-2480-8_7.

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5

Dun, Erica C., and Ceana H. Nezhat. "Complications of laparoscopic surgery." In Practical Manual of Minimally Invasive Gynecologic and Robotic Surgery, 355–66. Third edition. | Boca Raton, FL : CRC Press, Taylor & Francis Group, [2018] | Preceded by A practical manual of laparoscopy and minimally invasive gynecology / [edited by] Resad P. Pasic, Ronald L. Levine. 2nd ed. c2007.: CRC Press, 2018. http://dx.doi.org/10.1201/9781351006507-38.

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Attwood, Stephen, and Khalid Osman. "Complications of laparoscopic surgery." In Gastrointestinal emergencies, 70–76. Chichester, UK: John Wiley & Sons, Ltd, 2016. http://dx.doi.org/10.1002/9781118662915.ch12.

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Rosin, Danny. "Complications of Laparoscopic Surgery." In Schein's Common Sense Emergency Abdominal Surgery, 601–8. Berlin, Heidelberg: Springer Berlin Heidelberg, 2009. http://dx.doi.org/10.1007/978-3-540-74821-2_58.

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Haribhakti, Sanjiv, and Shobhit Sengar. "Complications in Laparoscopic Colorectal Surgery." In Laparoscopic Colorectal Surgery, 48–57. First edition. | Boca Raton, FL : CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9780429330377-10.

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Aggeli, Chrysanthi, Alexander-Michael Nixon, and Georgios N. Zografos. "Complications in Laparoscopic Colorectal Surgery." In Laparoscopic Colon Surgery, 101–19. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-56728-6_6.

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Nadia Gilani, S., and Tom Cecil. "Complications of laparoscopic colorectal surgery." In Laparoscopic Colorectal Surgery, 163–80. Boca Raton : CRC Press, [2016]: CRC Press, 2017. http://dx.doi.org/10.4324/9781315175751-12.

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Тези доповідей конференцій з теми "Laparoscopic surgery Complications":

1

"Treatment Strategies for Complications of Urological Laparoscopic Surgery." In 2018 International Conference on Medicine, Biology, Materials and Manufacturing. Francis Academic Press, 2018. http://dx.doi.org/10.25236/icmbmm.2018.71.

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Hale, Emily, Joel Bowen, Jonathon Sheen, and Kirk Bowling. "Endoloops in Laparoscopic Appendicectomy: a Cost Effectiveness Analysis." In VIRTUAL ACADEMIC SURGERY CONFERENCE 2021. Cambridge Medicine Journal, 2021. http://dx.doi.org/10.7244/cmj.2021.04.001.5.

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Introduction Over 50,000 appendicectomies are performed in the UK annually with significant associated costs to the healthcare system.The aim of this study was to investigate whether a significant difference in complication rate exists where different numbers of endoloop ligatures have been applied to the appendiceal base during laparoscopic appendicectomy, and to analyse for potential cost saving. Methods We performed a retrospective analysis of appendicectomies at our centre in one year, providing a sample of 254 patients. Cases were analysed against exclusion criteria, operative method, and histological findings. Each was followed up for complications in the 30 days post discharge and graded using the Clavien-Dindo system. Our null hypothesis of no difference in complication rate was tested using Fisher’s exact test. Results Of 254 patients, 59 were excluded due to open approach, non-endoloop method, or lack of available record, leaving a population of 195. The result of the two-tailed P value equalled 1.000, indicating no statistically significant difference in complication rate whether one or two endoloops were used. Regarding cost effectiveness, an endoloop costs £13.59. If the 62 cases in which 2 endoloops were used to secure the base had utilised a single endoloop, this would amount to a saving of £842.58. Conclusion Our study set out to assess whether the complication rate differs in cases where one or two endoloops have been applied. Retrospective statistical analysis found no significant difference between groups. Based on these findings, we recommend use of one endoloop to secure the base in laparoscopic appendicectomy.
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Schrope, Jonathan, Bjorn Olmanson, Caleb Fick, Cameron Motameni, Tayvin Viratyosin, Zachary D. Miller, James Harmon, and Paul Emerson. "The SMART Trocar: Force, Deviation, and Impedance Sensing Trocar for Enhanced Laparoscopic Surgery." In 2019 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2019. http://dx.doi.org/10.1115/dmd2019-3244.

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Intra-abdominal organ and vascular injuries during laparoscopic trocar placement remain a significant cause for surgical complications during laparoscopic procedures. These complications can arise if the surgeon deviates from the proper placement axis, requiring additional applied force to obliquely traverse the abdominal wall. This increase in force application increases the risk of internal vessel and organ damage immediately after entrance to the peritoneal cavity. To mitigate this risk, our group designed a trocar that provides real-time feedback of deviation from the proper insertion axis, applied force, and position of the trocar tip within the tissue. This was performed using an accelerometer, load cell, and electrical impedance measurement. Our device was tested in a surgical simulation laboratory by medical students using a porcine abdominal wall model. Results establish our device as an effective training tool for educating surgeons on trocar placement in laparoscopic surgery.
4

Chowdhury, A. M. Masum Bulbul, Michael J. Cullado, and Tao Shen. "A Wire-Driven Multifunctional Manipulator for Single Incision Laparoscopic Surgery." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9015.

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Abstract Minimally Invasive Surgery (MIS) has gained popularity in current abdominal surgical procedures due to its reduced skin incision length, shortened recovery time and decreased postoperative complications. One trend is to enhance these benefits by developing technologies to expand the application of single incision laparoscopic surgery (SILS) which has even less incision and incision-related complication. However, the practical application of SILS has been constrained by many complexities, including fundamental procedure issues (e. g. limited space), as well as the issues related to surgical tools, such as lack of actuation force, weak tool tips, poor visualization and lack of dexterous multitasking tools. Due to this lack of multitasking tools, the surgical tools or robots have to be retracted, exchanged and reset multiple times during the surgery, increasing the surgical time, the risk of injury and the surgeon’s level of fatigue. This paper focuses on developing a multifunctional manipulator with an automatic tool changing capability to boost practical application of SILS. The manipulator uses a wire-driven method that minimizes the potential damage from sterilization since the electronic actuation and sensing components are located remotely from the end-effector which needs heat or chemical sterilization before surgery. The feasibility of the tool tip changing method has been demonstrated by experiments.
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Ikuta, Koji, and Takashi Kato. "Development of the Surgery Recorder System." In ASME 2005 International Mechanical Engineering Congress and Exposition. ASMEDC, 2005. http://dx.doi.org/10.1115/imece2005-82232.

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An important concept of the Surgery Recorder System (SRS) for minimally invasive surgery (MIS) is proposed. With wide spread of public interest in rapid recovery from surgical diseases, MIS has been increasing the number of clinical cases. Then the risk of clinical accidents will also be raised for a reason that shortage in supply of standard clinical treatments will lead to complications or mortal cases associated with misjudgments of surgeons. Actually, specific accidents in MIS have been increasing, but there is no efficient methodology of quantitative analysis for accidents, even the standard format for surgical record including operative procedure. Therefore, we developed SRS, which give clinical review process an objective way of identifying the causes of accidents. SRS is meant to be the “flight recorder” in the operating theater. SRS records surgery information including position/orientation (P/O) and force/torque (F/T) signals of surgical tools, an endoscopic vision and surrounding sounds in the operating theater (A/V information). A prototype of laparoscopic forceps for P/O and F/T sensing was newly developed with care for consistency with commercial forceps. Then, in-vivo pig experiments were also performed by an expert of laparoscopic surgery for testing SRS. False and rough operative approaches to diaphragma and liver by a skillful surgeon were analyzed quantitatively in a postoperative investigation.
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Shen, Tao, Carl Nelson, and Dmitry Oleynikov. "A Pan/Tilt Surgical Camera With Parallel Structure and Elastic Platform." In 2017 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/dmd2017-3327.

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Minimally invasive surgery (MIS), including laparoscopy, endoscopy and colonoscopy, refers to performance of diagnostic or surgical intervention in the internal body cavity through small incisions (or no incisions) to reduce the recovery time and minimize scarring [1]. It has gained worldwide popularity since the first report of laparoscopic cholecystectomy in the mid-1980s due to lower complications, cosmetic benefits and quick recovery [2] and has grown to include robotic approaches. One of the main challenges for this type of surgery is to provide sufficient real-time visual feedback using cameras. To address issues of narrow visual field and limited workspace in surgical visual feedback, existing devices may use onboard motors to provide pan and tilt orientation for the camera [3, 4], which makes the system bulky and expensive. (Here we draw a distinction from wire-driven steerable laparoscopes and constrain the discussion to robotic devices.) In this paper, we present a novel camera system with a parallel structure and elastic platform which has three active degrees of freedom (DOFs) to increase the visual field and implement a mechanical zoom function. This camera head can be mounted on various surgical robots (e.g. [5]) or can be inserted as a standalone device. The novelty of this device lies in its elastic platform, and the authors are unaware of this type of design or its kinematic analysis being presented previously.
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Kunadharaju, R., H. Zubair, and A. Mishra. "CO2 Pneumothorax - Uncommon Complication of Robotic Laparoscopic Renal Surgery." In American Thoracic Society 2021 International Conference, May 14-19, 2021 - San Diego, CA. American Thoracic Society, 2021. http://dx.doi.org/10.1164/ajrccm-conference.2021.203.1_meetingabstracts.a1922.

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Mukhopadhyay, Asima, Kaustav Basu, and William Helm. "Evaluation of supragastric lesser sac using a laparoscope during cytoreductive surgery in epithelial ovarian carcinoma: A site for occult metastasis." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685290.

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Background: The supragastric lesser sac (SGLS) is a site of metastasis from epithelial ovarian cancer (EOC). Since this region is difficult to access and represents a confluence of critical structures, it may be a barrier to complete cytoreductive surgery (CRS). Methods: The SGLS was explored in consecutive patients undergoing CRS with EOC. After a xipho-pubic laparotomy incision, the SGLS was examined; visualisation and treatment was aided by using a laparoscope. Resectable disease was cleared using the following methods alone or in combination: direct tumor excision, argon beam coagulation, plasma jet or electrocautery. Results: 30 patients were evaluated between November 2013 and August 2014 in NGOC, Gateshead. SGLSM was present in 21/30 (70%) of EOCs, 19/25 (76%) high grade serous disease, 21/26 (81%) stage ≥3 disease, 18/20 (90%) with PCI score ≥15, 12/15 (80%) with ascites ≥500 ml, 13/18 (72%) at primary surgery and 8/10 (80%) at interval surgery. Sites included: lesser omentum (11), caudate lobe (10), groove of ligamentum venosum (6), floor (20), upper recess (7), subpyloric space (6), FOW (13), coeliac axis (5), porta hepatis (6), anterior surface of pancreas (2) retro-pancreatic (2). Size of metastases: <2.5mm = 3, <1 cm = 8, ≥1 cm = 7. Pre-operative CT scan identified 4/22 (18%) cases. In 18/21 patients SGLSM was completely resected or ablated; there were no complications. End Result: Optimal 27/30 (90%) including no visible disease = 18, <2.5 mm = 5; 17/21 (81%) cases would have been ≥2.5 mm residual disease if SGLS was not evaluated/treated. In a further cohort of 30 patients evaluated at Tata Medical Center, Kolkata, SGLSM was present in 18 (60%) of patients. CC1 resection was obtained in >90% cases. Conclusion: EOC frequently metastasizes to the SGLS and is often resectable. Lack of meticulous examination may result in incomplete resection; evaluation should be performed at least in stage ≥3 disease when the surgical intent is total clearance of disease.

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