Demco Larry
University of Calgary, Calgary, Alberta, Canada.
JSLS. 2003 Apr-Jun;7(2):141-5.
Complications of laparoscopy are categorized into trocar insertion complications, complications resulting from image quality, and complications resulting from instrumentation. Microlaparoscopy also has similar complications and additional complications when being performed in the awake patient. Each of these complications is reviewed as they apply to microlaparoscopy. The results reveal that the seriousness of the complication is directly dependent on the size of the perforation. Therefore, surgeons' reluctance to downsize the instruments used is increasing the laparoscopy complication rate. Using smaller-diameter trocars and instruments reduces laparoscopic complication rates.
腹腔镜检查的并发症可分为套管针插入并发症、图像质量导致的并发症以及器械导致的并发症。微型腹腔镜检查在清醒患者中进行时也有类似并发症以及其他并发症。当这些并发症适用于微型腹腔镜检查时，将对其逐一进行综述。结果显示，并发症的严重程度直接取决于穿孔的大小。因此，外科医生不愿缩小所使用器械的尺寸正在增加腹腔镜检查的并发症发生率。使用直径较小的套管针和器械可降低腹腔镜检查的并发症发生率。
