科研之友
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摘要
Introduction: The introduction of minimally invasive procedures has changed the pattern of surgical complications Some were only incidentally described in open surgery Others significantly changed in character or incidence
Aim: We present the incidence, character and dynamics of important complications of laparoscopic procedures within the entire period of application of this technique.
Material and methods: Patients operated on laparoscopically in the 2(nd) Department of General Surgery of the Jagiellonian University between 1992 and 2009 (n = 8732) were included in the study In order to follow the dynamics of complication rates the study period was divided into 3 sub-periods 1) 1992-1997, 2) 1998-2003, 3) 2004-2009 There were 2343 laparoscopic procedures performed in the 1(st) period, 3310 in the 2(nd) and 3079 in the 3(rd)
Results: The proportion of procedures other than cholecystectomy gradually increased 1) -22 79%, 2) -31 81%, 3) -40.05% Overall conversion rate was 2 91%, in the 151 period it was 3 97%, in the 2(nd) 1 81%, and in the 3(rd) 3 28% Complication-driven conversion rates were 0 60%, 0 27%, and 0 26%, respectively Bleeding and biliary tree injuries were the most common causes Complications requiring reoperations occurred in 0.48% of patients, and their incidence remained constant Haemorrhage and intra-abdominal abscesses were observed most often Use of laparoscopic technique in their management increased in consecutive periods from 20% in the 1(st), 45.83% in the 2(nd), to 53 57% in the 3(rd) time period
Conclusions: The introduction of new advanced procedures did not increase overall complication rate Change in their nature and more common use of laparoscopic technique in their management were noted
- 出版日期2010
