Korean J Urol.  2006 Dec;47(12):1294-1301. 10.4111/kju.2006.47.12.1294.

Complications of Retroperitoneal Laparoscopic Surgery

Affiliations
  • 1Department of Urology, College of Medicine, Chosun University, Gwangju, Korea. cskim@chosun.ac.kr

Abstract

PURPOSE
Laparoscopic surgery is known to be safe and have low morbidity. Herein, all the complications of retroperitoneal laparoscopic procedures were evaluated.
MATERIALS AND METHODS
A total of 120 retroperitoneal laparoscopic surgeries were performed between January 2002 and December 2005. Every abnormal event was investigated retrospectively, and classified in detail according to the surgical steps and severity.
RESULTS
The complication ratio (total complications/total surgeries) was 0.38 (46/120). Open conversion was performed in 5 (4.2%). A transfusion was performed in 8 (6.7%) patients. 5 patients (4.2%) had neuromuscular problem related to position and 9 (7.5%) had access and insufflation related complications, including subcutaneous emphysema, abdominal wall hemorrhage, pneumothorax and pneumomediastinum. The intraoperative complications (5.8%) included peritoneal tearing, vascular injury and diaphragmatic injury. Postoperative complications occurred in 25 patients (20.8%), including pleural effusion, atelectasis/pulmonary infiltrate, wound dehiscence, paralytic ileus, retroperitoneal hematoma and urine leakage. 5 complications (4.2%) were classified as being major; main vascular injury (1.7%), urine leakage (1.7%) and diaphragmatic injury (0.8%). No serious complications, such as death, bowel injury, deep vein thrombosis, with pulmonary embolism, or gas embolism occurred. Other complications (41/46) were minor and managed conservatively, without any problem.
CONCLUSIONS
The most common complications of retroperitoneal laparoscopic surgery seem to occur during the postoperative period, and are nonspecific to retroperitoneoscopy. Most complications are subclinical problems, which can be managed by conservative treatment. Retroperitoneal laparoscopic surgery is a safe procedure, with a low potential for complications.

Keyword

Complications; Laparoscopy; Retroperitoneal space

MeSH Terms

Abdominal Wall
Embolism, Air
Hematoma
Hemorrhage
Humans
Insufflation
Intestinal Pseudo-Obstruction
Intraoperative Complications
Laparoscopy*
Mediastinal Emphysema
Pleural Effusion
Pneumothorax
Postoperative Complications
Postoperative Period
Pulmonary Embolism
Retroperitoneal Space
Retrospective Studies
Subcutaneous Emphysema
Vascular System Injuries
Venous Thrombosis
Wounds and Injuries

Cited by  1 articles

The Factors Affecting Non-Urologic Postoperative Complications after Laparoscopic Surgery in the Urologic Area
Sang Hyub Lee, Koo Han Yoo, Gyeong Eun Min, Hyung Lae Lee, Sung-Goo Chang, Seung Hyun Jeon
Korean J Urol. 2009;50(8):780-785.    doi: 10.4111/kju.2009.50.8.780.


Reference

1. Gaur DD. Laparoscopic operative retroperitoneoscopy: use of a new device. J Urol. 1992. 148:1137–1139.
2. Gill IS, Clayman RV, Albala DM, Aso Y, Chiu AW, Das S, et al. Retroperitoneal and pelvic extraperitoneal laparoscopy: an international perspective. Urology. 1998. 52:566–571.
3. Gill IS, Kavoussi LR, Clayman RV, Ehrlich R, Evans R, Fuchs G, et al. Complications of laparoscopic nephrectomy in 185 patients: a multi-institutional review. J Urol. 1995. 154:479–483.
4. Rassweiler JJ, Seemann O, Frede T, Henkel TO, Alken P. Retroperitoneoscopy: experience with 200 cases. J Urol. 1998. 160:1265–1269.
5. Kumar M, Kumar R, Hemal AK, Gupta NP. Complications of retroperitoneoscopic surgery at one centre. BJU Int. 2001. 87:607–612.
6. Gaur DD, Rathi SS, Ravandale AV, Gopichand M. A single-centre experience of retroperitoneoscopy using the balloon technique. BJU Int. 2001. 87:602–606.
7. Wolf JS Jr, Marcovich R, Gill IS, Sung GT, Kavoussi LR, Clayman RV, et al. Survey of neuromuscular injuries to the patient and surgeon during urologic laparoscopic surgery. Urology. 2000. 55:831–836.
8. Kavoussi LR, Sosa E, Chandhoke P, Chodak G, Clayman RV, Hadley HR, et al. Complications of laparoscopic pelvic lymph node dissection. J Urol. 1993. 149:322–325.
9. Fahlenkamp D, Rassweiler J, Fornara P, Frede T, Loening SA. Complications of laparoscopic procedures in urology: experience with 2,407 procedures at 4 German centers. J Urol. 1999. 162:765–770.
10. Wolf JS Jr, Monk TG, McDougall EM, McClennan BL, Clayman RV. The extraperitoneal approach and subcutaneous emphysema are associated with greater absorption of carbon dioxide during laparoscopic renal surgery. J Urol. 1995. 154:959–963.
11. Wolf JS Jr, Carrier S, Stoller ML. Intraperitoneal versus extraperitoneal insufflation of carbon dioxide as for laparoscopy. J Endourol. 1995. 9:63–66.
12. Ng CS, Gill IS, Sung GT, Whalley DG, Graham R, Schweizer D. Retroperitoneoscopic surgery is not associated with increased carbon dioxide absorption. J Urol. 1999. 162:1268–1272.
13. Abreu SC, Sharp DS, Ramani AP, Steinberg AP, Ng CS, Desai MM, et al. Thoracic complications during urological laparoscopy. J Urol. 2004. 171:1451–1455.
14. Murdock CM, Wolff AJ, Van Geem T. Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy. Obstet Gynecol. 2000. 95:704–709.
15. Wolf JS Jr, Clayman RV, Monk TG, McClennan BL, McDougall EM. Carbon dioxide absorption during laparo scopic pelvic operation. J Am Coll Surg. 1995. 180:555–560.
16. Kalhan SB, Reaney JA, Collins RL. Pneumomediastinum and subcutaneous emphysema during laparoscopy. Cleve Clin J Med. 1990. 57:639–642.
17. Wolf JS Jr, Stoller ML. The physiology of laparoscopy: basic principles, complications and other considerations. J Urol. 1994. 152:294–302.
18. Venkatesh R, Kibel AS, Lee D, Rehman J, Landman J. Rapid resolution of carbon dioxide pneumothorax (capno-thorax) resulting from diaphragmatic injury during laparoscopic nephrectomy. J Urol. 2002. 167:1387–1388.
19. Olsson LE, Swana H, Friedman AL, Lorber MI. Pleurotomy, pneumothorax, and surveillance during living donor nephroureterectomy. Urology. 1998. 52:591–593.
20. Thiel R, Adams JB, Schulam PG, Moore RG, Kavoussi LR. Venous dissection injuries during laparoscopic urological surgery. J Urol. 1996. 155:1874–1876.
21. Meraney AM, Samee AA, Gill IS. Vascular and bowel complications during retroperitoneal laparoscopic surgery. J Urol. 2002. 168:1941–1944.
22. Abbou CC, Cicco A, Gasman D, Hoznek A, Antiphon P, Chopin DK, et al. Retroperitoneal laparoscopic versus open radical nephrectomy. J Urol. 1999. 161:1776–1780.
23. Bishoff JT, Allaf ME, Kirkels W, Moore RG, Kavoussi LR, Schroder F. Laparoscopic bowel injury: incidence and clinical presentation. J Urol. 1999. 161:887–890.
24. Olsson LE, Swana H, Friedman AL, Lorber MI. Pleurotomy, pneumothorax, and surveillance during living donor nephroureterectomy. Urology. 1998. 52:591–593.
25. Poore RE, Sexton WJ, Hart LJ, Assimos DG. Is radiographic evaluation of the chest necessary following flank surgery? J Urol. 1996. 155:849–851.
26. Del Pizzo JJ, Jacobs SC, Bishoff JT, Kavoussi LR, Jarrett TW. Pleural injury during laparoscopic renal surgery: early recognition and management. J Urol. 2003. 169:41–44.
27. Yokoyama M, Ueda W, Hirakawa M. Haemodynamic effects of the lateral decubitus position and the kidney rest lateral decubitus position during anaesthesia. Br J Anaesth. 2000. 84:753–757.
28. McDougall EM, Monk TG, Wolf JS Jr, Hicks M, Clayman RV, Gardner S, et al. The effect of prolonged pneumoperitoneum on renal function in an animal model. J Am Coll Surg. 1996. 182:317–328.
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