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Surgical complications of laparoscopic urological surgery
Michael S Lasser1, Reza Ghavamian1
1Section of Minimally Invasive and Robotic Urologic Surgery, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.
Objectives:
To describe the incidence, identification and management of common intraoperative complications, including vascular, urological, bowel and visceral complications, of laparoscopic urological surgery.
Methods:
We searched the databases of PubMed and Medline for relevant English language reports, using the keywords 'laparoscopy', 'urologic' and 'complication'.
Results:
The search yielded 967 papers in all, and a review of these yielded a total of 42 relevant papers.
Conclusion:
Despite its advantages, laparoscopic urological surgery is associated with complications having rates as high as 22%. As surgical volumes increase, the incidence and magnitude of complications have increased progressively. Meticulous surgical technique, surgeon experience, and a high degree of suspicion are necessary throughout the surgical endeavour. The intraoperative recognition and management of complications is mandatory.
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