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Laparoscopic Gynae-oncological Procedures: Lessons Learnt After a Single Institution Audit of Complications and Their
Shailesh P Puntambekar1, Geetanjali A Agrawal1, Saurabh N Joshi1
1The Galaxy Care Laparoscopic Institute, A Center of Excellence for Minimally Invasive Oncology, 25-A, Karve Road, Erandwane, Pune, 411004 Maharashtra India.
Study Objective:
To retrospectively evaluate the complications of the laparoscopic pelvic surgeries and to formulate the guidelines to avoid them.
Design:
Retrospective study (Canadian Classification).
Setting:
Advanced Laparoscopic Institute.
Patients:
Nine hundred and seven operated for gynecological malignancies.
Intervention:
Laparoscopic surgeries.
Measurements And Main Results:
567 women suffering from different pelvic conditions were studied in a period of 60 months. The median age of the patient was 35 (11-80). Complications occurred in 32 patients (32/567, 5.5 %). The overall incidence of urinary tract injury in all the advanced cases at our institute was 2.1 % (12/567). The incidence of bowel injury at our center was 1.76 %. The incidence of vascular injury at our institute was 1.76 % (10/567).
Conclusion:
Laparoscopic complications are different than those seen following open surgeries. Anticipation, early recognition, and timely intervention help to reduce morbidity. Laparoscopic management of complications is possible. Formulating standard guidelines can help to avoid many such complications.
