Orlando Rocco, Palatini Pietro, Lirussi Flavio
Department of Medical and Surgical Sciences, University of Padua, Padua, Italy.
J Laparoendosc Adv Surg Tech A. 2003 Jun;13(3):181-4. doi: 10.1089/109264203766207708.
Laparoscopy is a relatively safe invasive procedure, but complications can occur, mainly related to Veress needle and trocar insertion. The rate of these complications is generally reported to be low, but the true incidence may be higher because of underreporting. We retrospectively studied the records of 2650 consecutive diagnostic laparoscopies performed by the same operator with the aim of assessing the true incidence and nature of these complications. Major complications occurred in 0.41% of cases and included bladder injury, bowel perforation, hemoperitoneum, and abdominal wall hematoma. Minor complications, including omental and subcutaneous emphysema, occurred in 1.58% of cases. Some of these resolved spontaneously, whereas others required surgical or medical treatment. We believe that all laparoscopic complications should be reported to a registry so that their potential risk can be quantified. Simply reporting complications as major or minor on the basis of the follow-up does not allow laparoscopists to understand their true incidence completely.
腹腔镜检查是一种相对安全的侵入性手术，但可能会发生并发症，主要与韦雷斯针和套管针插入有关。这些并发症的发生率通常报告较低，但由于报告不足，实际发生率可能更高。我们回顾性研究了同一操作者连续进行的2650例诊断性腹腔镜检查的记录，目的是评估这些并发症的实际发生率和性质。主要并发症发生在0.41%的病例中，包括膀胱损伤、肠穿孔、腹腔积血和腹壁血肿。次要并发症，包括网膜和皮下气肿，发生在1.58%的病例中。其中一些并发症可自行缓解，而另一些则需要手术或药物治疗。我们认为，所有腹腔镜并发症都应报告给登记处，以便能够量化其潜在风险。仅根据随访情况将并发症简单报告为主要或次要，并不能让腹腔镜手术医生完全了解其实际发生率。
