Karadag Mert Ali, Cecen Kursat, Demir Aslan, Bagcioglu Murat, Kocaaslan Ramazan, Kadioglu Teoman Cem
Department of Urology, Faculty of Medicine, Kafkas University, Kars, Turkey.
Department of Urology, Istanbul University, Medical Faculty of Istanbul, Istanbul, Turkey.
J Clin Med Res. 2015 Apr;7(4):203-10. doi: 10.14740/jocmr2090w. Epub 2015 Feb 9.
Gastrointestinal injuries that occur during or after laparoscopic and robot-assisted surgery are serious side effects that affect patient outcome. In this review, we attempt to highlight the identification, incidence and management of gastrointestinal and visceral complications of laparoscopic and robot-assisted surgery. A search of Medline and PubMed databases was performed using the following terms: gastrointestinal complications of laparoscopy, laparoscopic, kidney and robotic surgery. A total of 1,072 papers related to the subject were analyzed. Forty-six of these papers were included in the present review. These papers reported high numbers of participants and had a high level of evidence. Gastrointestinal complications during laparoscopic and robot-assisted surgery are rare, but similar, and can occur at any time between access and closure. Despite their infrequency, these complications can result in mortality. The early recognition and management of gastrointestinal complications is very important. Unrecognized or delayed identification of gastrointestinal complications may cause sepsis and death.
腹腔镜手术和机器人辅助手术期间或术后发生的胃肠道损伤是影响患者预后的严重副作用。在本综述中,我们试图强调腹腔镜手术和机器人辅助手术的胃肠道及内脏并发症的识别、发生率和管理。使用以下术语对Medline和PubMed数据库进行了检索:腹腔镜检查的胃肠道并发症、腹腔镜、肾脏和机器人手术。共分析了1072篇与该主题相关的论文。其中46篇论文被纳入本综述。这些论文报道的参与者数量众多且证据水平较高。腹腔镜手术和机器人辅助手术期间的胃肠道并发症很少见,但相似,且可在穿刺至关闭的任何时间发生。尽管这些并发症不常见,但可能导致死亡。胃肠道并发症的早期识别和管理非常重要。未识别或延迟识别胃肠道并发症可能导致脓毒症和死亡。