Abstract
Although studies report fewer complications after laparoscopic colectomy, surgeons need to be aware of both common and unique complications that are associated with laparoscopy. In order to prevent laparoscopy-related complications, you need to have a consistent and systematic approach. Optimal exposure and clear understanding of laparoscopic anatomy are prerequisite to a successful laparoscopic surgery. In re-operative laparoscopic surgery, early proactive conversion is likely to result in favorable outcome. In contrast, reactive conversion created late in the operation in response to intraoperative complications will likely lead to a poor outcome and needs to be avoided.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Group COoSTS. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9. PubMed PMID: 15141043.
Green BL, Marshall HC, Collinson F, Quirke P, Guillou P, Jayne DG, et al. Long-term follow-up of the Medical Research Council CLASICC trial of conventional versus laparoscopically assisted resection in colorectal cancer. Br J Surg. 2013;100:75–82.
Carmichael JC, Masoomi H, Mills S, Stamos MJ, Nguyen NT. Utilization of laparoscopy in colorectal surgery for cancer at academic medical centers: does site of surgery affect rate of laparoscopy? Am Surg. 2011;77(10):1300–4.
Olivar H, Sharar SR, Stephens LS, Posner KL, Domino KB. Similar liability for trauma and nontrauma surgical anesthesia: a closed claims analysis. Anesth Analg. 2012;115(5):1196–203.
Nakajima K, Milsom JW, Margolin DA, Szilagy EJ. Use of the surgical towel in colorectal hand-assisted laparoscopic surgery (HALS). Surg Endosc. 2004;18(3):552–3.
van der Voort M, Heijnsdijk EA, Gouma DJ. Bowel injury as a complication of laparoscopy. Br J Surg. 2004;91(10):1253–8.
Sutton PA, Awad S, Perkins AC, Lobo DN. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the Ligasure. Br J Surg. 2010;97(3):428–33.
Milsom JW, Bohm B, Nakajima K. Surgical energy source. Laparoscopic colorectal surgery. 2nd ed. New York: Springer; 2006. p. 30–48.
Azevedo JL, Azevedo OC, Miyahira SA, Miguel GP, Becker OM, Hypólito OH, et al. Injuries caused by Veress needle insertion for creation of pneumoperitoneum: a systematic literature review. Surg Endosc. 2009;23(7):1428–32.
Parpala-Spårman T, Paananen I, Santala M, Ohtonen P, Hellström P. Increasing numbers of ureteric injuries after the introduction of laparoscopic surgery. Scand J Urol Nephrol. 2008;42(5):422–7.
Palaniappa NC, Telem DA, Ranasinghe NE, Divino CM. Incidence of iatrogenic ureteral injury after laparoscopic colectomy. Arch Surg. 2012;147(3):267–71.
Belizon A, Sardinha CT, Sher ME. Converted laparoscopic colectomy: what are the consequences? Surg Endosc. 2006;20(6):947–51.
Gervaz P, Pikarsky A, Utech M, Secic M, Efron J, Belin B, et al. Converted laparoscopic colorectal surgery. Surg Endosc. 2001;15(8):827–32.
Gonzalez R, Smith CD, Mason E, Duncan T, Wilson R, Miller J, et al. Consequences of conversion in laparoscopic colorectal surgery. Dis Colon Rectum. 2006;49(2):197–204.
Hewett PJ, Allardyce RA, Bagshaw PF, Frampton CM, Frizelle FA, Rieger NA, et al. Short-term outcomes of the Australasian randomized clinical study comparing laparoscopic and conventional open surgical treatments for colon cancer: the ALCCaS trial. Ann Surg. 2008;248(5):728–38.
Casillas S, Delaney CP, Senagore AJ, Brady K, Fazio VW. Does conversion of a laparoscopic colectomy adversely affect patient outcome? Dis Colon Rectum. 2004;47(10):1680–5.
Lee SW, Yoo J, Dujovny N, Sonoda T, Milsom JW. Laparoscopic vs. hand-assisted laparoscopic sigmoidectomy for diverticulitis. Dis Colon Rectum. 2006;49(4):464–9.
Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, et al. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum. 2008;51(6):818–26.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic supplementary material
Below is the link to the electronic supplementary material.
Superficial thermal damage to the duodenum (MPG 6339 kb)
Bleeding from the IMA pedicle (Video by David Longcope, MD (AVI 494403 kb))
Bleeding from the ileocolic pedicle during a single incision laparoscopic right colectomy (MOV 117243 kb)
Near miss injury to the right ureter during laparoscopic dissection (MPG 3009 kb)
Approaches to the difficult splenic flexure (MOV 130545 kb)
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Shin, J., Lee, S.W. (2014). Laparoscopic Complications. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_31
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9022-7_31
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9021-0
Online ISBN: 978-1-4614-9022-7
eBook Packages: MedicineMedicine (R0)