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Bacteremia after diagnostic conventional laparoscopy and minilaparoscopy: a prospective study in 100 patients
Uwe Weickert1, Stephan Vetter, Ulrich Burkhardt
1Department of Internal Medicine C, Ludwigshafen Hospital, Academic Hospital of the University of Mainz, Germany. weickeru@klilu.de
Background/Goals:
Diagnostic laparoscopy under sedoanalgesia is a valuable tool in the work-up of liver diseases and is helpful as a staging procedure. The rate of bacteremia caused by this procedure is unknown, in particular when performed as minilaparoscopy.
Study:
A 100 consecutive patients having undergone diagnostic laparoscopy carried out either conventionally (group I, n=50) or as minilaparoscopy (group II, n=50) were prospectively enrolled in this study. Blood cultures were drawn before and within 5 minutes after the procedure. Risk factors for bacteremia were evaluated.
Results:
Bacterial growth occurred in 4 blood cultures drawn immediately after laparoscopy. No patient developed fever or other signs of infection in the follow-up. Risk factors predisposing to bacteremia could not be identified.
Conclusions:
Conventional diagnostic laparoscopy under sedoanalgesia and minilaparoscopy are associated with a low rate of bacteremia as in diagnostic upper endoscopy.
