Complications of hand-assisted laparoscopic urologic surgery

被引:10
作者
Hedican, SP [1 ]
机构
[1] Univ Wisconsin, Sch Med, Div Urol, Dept Surg, Madison, WI 53792 USA
关键词
D O I
10.1089/089277904323056960
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
Since the first urologic case was reported in 1997, hand-assisted laparoscopic surgery (HALS) has proven to be useful for both the experienced and the inexperienced laparoscopic surgeon. In a recent series of 196 cases at three major medical institutions, 18 patients (9.2%) suffered 32 major complications, and 28 patients (14.3%) had 31 minor complications. The most common major complications were small-bowel injury, requirement for open conversion to control bleeding, and need for reintubation. The most frequent minor complications were urinary retention, splenic capsular injury, and prolonged Hens. The author discusses ways of recognizing and managing the complications of HALS, including physiologic, access-related, intraoperative, and postoperative problems.
引用
收藏
页码:387 / 396
页数:10
相关论文
共 57 条
[1]
ALDANA JP, 2003, J ENDOUROL S1, V16, pA4
[2]
*AUA OFF ED, 2002, HANDS ON LAP PROBL O
[3]
Single-center comparison of purely laparoscopic, hand-assisted laparoscopic, and open radical nephrectomy in patients at high anesthetic risk [J].
Baldwin, DD ;
Dunbar, JA ;
Parekh, DJ ;
Wells, N ;
Shuford, MD ;
Cookson, MS ;
Smith, JA ;
Herrell, SD ;
Chang, SS ;
McDougall, EM .
JOURNAL OF ENDOUROLOGY, 2003, 17 (03) :161-167
[4]
Hand-assisted laparoscopic radical nephrectomy: The experience of the inexperienced [J].
Batler, RA ;
Schoor, RA ;
Gonzalez, CM ;
Engel, JD ;
Nadler, RB .
JOURNAL OF ENDOUROLOGY, 2001, 15 (05) :513-516
[5]
Laparoscopic bowel injury: Incidence and clinical presentation [J].
Bishoff, JT ;
Allaf, ME ;
Kirkels, W ;
Moore, RG ;
Kavoussi, LR ;
Schroder, F .
JOURNAL OF UROLOGY, 1999, 161 (03) :887-890
[6]
Laparoscopic nephrectomy for renal cell cancer: Evaluation of efficacy and safety: A multicenter experience [J].
Cadeddu, JA ;
Ono, Y ;
Clayman, RV ;
Barrett, PH ;
Janetschek, G ;
Fentie, DD ;
McDougall, EM ;
Moore, RG ;
Kinukawa, T ;
Elbahnasy, AM ;
Nelson, JB ;
Kavoussi, LR .
UROLOGY, 1998, 52 (05) :773-777
[7]
The role of computerized tomography in the evaluation of complications after laparoscopic urological surgery [J].
Cadeddu, JA ;
Regan, F ;
Kavoussi, LR ;
Moore, RG .
JOURNAL OF UROLOGY, 1997, 158 (04) :1349-1352
[8]
Fibrin sealant treatment of splenic injury during open and laparoscopic left radical nephrectomy [J].
Canby-Hagino, ED ;
Morey, AF ;
Jatoi, I ;
Perahia, B ;
Bishoff, JT .
JOURNAL OF UROLOGY, 2000, 164 (06) :2004-2005
[9]
A NEW TECHNIQUE OF FASCIAL CLOSURE FOR LAPAROSCOPIC INCISIONS [J].
CARTER, JE .
JOURNAL OF LAPAROENDOSCOPIC SURGERY, 1994, 4 (02) :143-148
[10]
Port site tumor recurrences of renal cell carcinoma after videolaparoscopic radical nephrectomy [J].
Castilho, LN ;
Fugita, OEH ;
Mitre, AI ;
Arap, S .
JOURNAL OF UROLOGY, 2001, 165 (02) :519-519