Complications of laparoscopic gynecological surgery
Keywords:
complications, laparoscopic surgery, gynecological surgery.Abstract
Introduction: Laparoscopic surgical methods are used more and more to treat gynecological conditions, however, although they have advantages, minimally invasive techniques are not exempt from complications. Despite its importance, there is no homogeneity of criteria for laparoscopic gynecological surgery. Studies on the subject address very heterogeneous situations and therefore the results are highly variable. A bibliographic review on complications of laparoscopic gynecological surgery was carried out from 2010 to 2021. Guidelines, systematic reviews, randomized clinical trials and observational studies were selected.Objective: To carry out an analysis of the literature on the complications of gynecological surgery and its classification during the videolaparoscopic approach.
Development: The main complications related to laparoscopic procedures for gynecological interventions are mentioned, as well as the various ways of classifying them, a standardization system is reported in the bibliography to achieve homogeneity, which is little used in Cuban research. From the review carried out, few bibliographical citations were found that address the subject investigated in Cuba.
Conclusions: In Cuba there is no consensus to classify complications in laparoscopic gynecological surgery; it is necessary to expand the autochthonous research on the subject.
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References
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4. Hollman Montiel JP, Rodríguez AG. Complicaciones de la histerectomía total abdominal ginecológica por patología benigna. ArchInv Mat Inf. 2014 [acceso: 12/12/2021]; 6(1):25-30. Disponible en: https://www.medigraphic.com/pdfs/imi/imi-2014/imi141f.pdf
5. Pandit MJ, Alsop R. Using international data to set benchmarks for morbidity outcomes after hysterectomy. Int J Gynaecol Obstet. 2016; 133(1):84-8. DOI: 10.1016/j.ijgo.2015.08.011
6. Parsons JK, Varkarakis I, RhaKH, Jarrett TW, Pinto PA, Kavoussi LR. Complications of abdominal urologic laparoscopy: longitudinal five-year analysis. Urology. 2004; 63(1): 27-32. DOI:10.1016/j.urology.2003.10.003
7. Mitropoulos D, Artibani W, Graefen M, Remzi M, Rouprêt M, Truss M. Notificación y clasificación de complicaciones después de procedimientos quirúrgicos urológicos: una evaluación y recomendaciones del panel de guías clínicas de la EAU. Actas Urol Esp. 2013 [acceso: 11/12/2021]; 37(1): 1-11. Disponible en: https://uroweb.org/wp-content/uploads/2012-Mitropoulos-D-et-al-Actas-Urol-Esp-July-2013-37-1-11-Grading-of-Complications.pdf
8. Royal College of Obstetricians and Gynaecologists.Classification of laparoscopic procedures per level ofdifficulty. London: RCOG; 2001. DOI: 10.1007/s10397-008-0390-1
9. Vallancien G, Cathelineau X, Baumert H, Doublet JD, Guillonneau B. Complications of transperitoneal laparoscopic surgery in Urology: Review of 1,311 procedures at a single center. J Urol. 2002 [acceso: 21/12/2021]; 168(1): 23-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12050484/
10. Schwartz Manual de Cirugía. 8a edición. Texas, Houston: Mc Graw Gill Interamericana; 2007.
11. Querleu D, Chapron C. Complications of gynecologic laparoscopic surgery. Current Opinion in Obstetrics & Gynecology. 1995 [acceso: 21/12/2021]; 7(4):257-61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7578963/
12. Chapron C, Querleu D, Bruhat MA, Madelenat P, Fernández H, Pierre F, et al. Surgical complications of diagnostic and operative gynecological laparoscopy: a series of 29,966 cases. Human Reproducción. 1998; 13(4):867-72. DOI: 10.1093/humrep/13.4.867
13. Clavien PA, Strasberg SM. Clasificación de la gravedad de las complicaciones quirúrgicas. Ann Surg. 2009; 250(2):197-8. DOI: 10.1097/SLA.0b013e3181b6dcab
14. Dindo D, Demartines N, Clavien PA. Classification surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240(2):205-13. DOI: 10.1097/01.sla.0000133083.54934.ae
15. Esteva Miró C, Núñez García B, Pérez-Gaspar M, Santiago Martínez S, Jiménez Gómez J, Betancourth Alvarenga JE, et al. Applicability of Clavien-Dindo classification in Nuss procedure surgical complications. Cir Pediatr. 2020 [acceso: 19/12/2021]; (4):154-159. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33016653/
16. Ibáñez Pradas V, Couselo Jerez M, Carazo Palacios ME. Thoracoscopic esophageal atresia repair: learning curve analysis using Clavien-Dindo surgical complication classification. Cir Pediatr. 2020;33(4):166-171. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33016655/
17. Bolliger M, Kroehnert JA, Molineus F, Kandioler D, Schindl M, Riss P. Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients. European Surgery. 2018; 50(6):256-61. DOI: 10.1007/s10353-018-0551-z
18. Chapron C, Fauconnier A, Goffinet F, BréartG,Dubuisson JB. Laparoscopic surgery is notinherently dangerous for patients presenting withbenign gynecologic pathology: results of a metaanalysis. Hum Reprod. 2002; 17:1334-42. DOI: 10.1093/humrep/17.5.1334
19. Alkatout I. Complications of Laparoscopy inConnection With Entry Techniques. J Gynecol Surg. 2017; 33(3):81-91. DOI: 10.1089/gyn.2016.0111
20. Fuentes MN, Rodríguez-Oliver A, Naveiro Rilo JC, Paredes AG, Aguilar Romero MT, Parra JF. Complications of Laparoscopic Gynecologic Surgery. JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2014; 18(3):e2014.00058. DOI: 10.4293/JSLS.2014.00058
21. Worley MJ Jr, Anwandter C, Sun CC, dos Reis R, Nick AM, Frumovitz M, et al. Impacto del volumen del cirujano en la seguridad del paciente en la cirugía ginecológica laparoscópica. Gynecol Oncol. 2012 Abr; 125(1):241-4. DOI: 10.1016/j.ygyno.2011.12.452.
22. Pantoja-Garrido M, Frías-Sánchez Z, Chica-Rubio V, Peláez-Marín G. Experiencia del equipo quirúrgico y grado de dificultad de la intervención. ¿Variables significativas en la incidencia de complicaciones durante la cirugía laparoscópica ginecológica? Ginecol. obstet. Méx. 2019; 87(7): 417-424. DOI: 10.24245/gom.v87i7.2810.
23. Díaz R. Elisa et al. Complicaciones quirúrgicas intraoperatorias en laparoscopía ginecológica en el Hospital Padre Hurtado. Rev. chil. obstet. ginecol. 2020; 85(4): 343-50. DOI: 10.4067/S0717-75262020000400343
24. Sinha, R, Jalote, I, Sinha, M, Raje Sh, Rao G . Surgical complications in 448 gynecological 3D laparoscopic surgeries adopting the Clavien-Dindo classification. Gynecol Surg. 2016; 13(1):333-8. DOI: 10.1007/s10397-016-0973-1
25. Aichele D, Maldonado C, Castillo F, Carvajal R, Miranda C, Miranda-Mendoza I. Histeroscopía quirúrgica: Experiencia, resultados y complicaciones según clasificación Clavien-Dindo. Rev. chil. Obstet. ginecol. 2020; 85(3): 236-44. DOI: 10.4067/S0717-75262020000300236
26. Yim GW, Kim SW, Nam EJ, Kim S, Kim HJ, Kim YT. Surgical Outcomes of Robotic Radical Hysterectomy Using Three Robotic Arms versus Conventional Multiport Laparoscopy in Patients with Cervical Cancer. Yonsei Medical Journal. 2014; 55(5):1222. DOI: 10.3349/ymj.2014.55.5.122.
27. Park SH, Lee J-Y, Nam EJ, Kim S, Kim SW, Kim YT. Prediction of perioperative complications after robotic-assisted radical hysterectomy for cervical cancer using the modified surgical Apgar score. BMC Cancer. 2018; 21(18): 1. DOI: 10.1186/s12885-018-4809-4
28. Otake A, Horai M, Tanaka E, Toda A, Miyoshi Y, Funada R, et al. Influences of total laparoscopic hysterectomy according to body mass index (underweight, normal weight, overweight, or obese). Gynecology and Minimally Invasive Therapy. 2019; 8(1):19. DOI:
10.4103/GMIT.GMIT_53_18
29. Urgellés Carreras SA, Álvarez Fiallo M, Reyes Guerrero E, Acosta León O. Complicaciones en la cirugía ginecológica. Rev Cub Med Mil. 2020 [acceso: 22/12/2021]; 49(4): e781. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572020000400015&lng=es
30. Barreras-González J, Díaz-Ortega I, López-Milhet A, Pereira-Fraga J, Castillo-Sánchez Y, Sánchez-Hernández E. Histerectomía laparoscópica en 1 599 pacientes. Revista Cubana de Cirugía. 2015 [acceso: 26/11/2021]; 54 (3): 1. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/299
31. Johnson N, Barlow D, Lethaby A. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005; 330:1478. DOI: 10.1136/bmj.330.7506.1478
32. Stoica RA, Enache T, Iordache N. Intra operative lesion of the pelvic ureter solved in a minimally invasive manner. Journal of Medicine and Life. 2014 [acceso: 19/12/2021]; 7(3):396-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25408763/
33. Ruiz J. Evolución histórica de la terapéutica endoscópica. En: Ruiz J, Torres R, Martínez MA, Fernández A, Pascual H. Cirugía Endoscópica. Fundamentos y aplicaciones. La Habana: Editorial Científico Técnica; 2000. p. 19-22.
34. Cruz Hernández ML, Barreras González JE, Morera Pérez M, Gallinat Martin Y. Sacrocolpopexia laparoscópica como modalidad de tratamiento en las pacientes con prolapso de cúpula vaginal. Rev Cubana Obstet Ginecol. 2017 [acceso: 20/12/2021]; 43(4):43-52. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2017000400004&lng=es
35. Salazar Ortega AI, Ducasses Olivares S, Domínguez González EJ, Mirabal Fariñas Ao, Rodríguez Morales A. Complicaciones intraoperatorias y posquirúrgicas tempranas en cirugía lumbo-laparoscópica urológica. MEDISAN. 2015 [acceso: 19/12/2021]; 19(10): 1248-58. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015001000010&lng=es
2. Coelho SM, Perez Ede L, Lins CD, Gomes MT, Bella ZI, Andrés Mde P, et al. Epidemiological profile and postoperative complications of women undergoing gynecological surgery in a reference center in the northern Brazilian legal amazon. Rev Col Bras Cir. 2015 [acceso: 11/012/2021]; 42(6):372-5. Disponible en: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000700372&lng=en
3. Vargas Lejarza S, Villagra Blanco V. Análisis de causas de reingreso en pacientes histerectomizadas. Acta MédCostarric. 2016 [acceso: 15/12/2021]; 58(1):27-31. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001-60022016000100027&lng=en
4. Hollman Montiel JP, Rodríguez AG. Complicaciones de la histerectomía total abdominal ginecológica por patología benigna. ArchInv Mat Inf. 2014 [acceso: 12/12/2021]; 6(1):25-30. Disponible en: https://www.medigraphic.com/pdfs/imi/imi-2014/imi141f.pdf
5. Pandit MJ, Alsop R. Using international data to set benchmarks for morbidity outcomes after hysterectomy. Int J Gynaecol Obstet. 2016; 133(1):84-8. DOI: 10.1016/j.ijgo.2015.08.011
6. Parsons JK, Varkarakis I, RhaKH, Jarrett TW, Pinto PA, Kavoussi LR. Complications of abdominal urologic laparoscopy: longitudinal five-year analysis. Urology. 2004; 63(1): 27-32. DOI:10.1016/j.urology.2003.10.003
7. Mitropoulos D, Artibani W, Graefen M, Remzi M, Rouprêt M, Truss M. Notificación y clasificación de complicaciones después de procedimientos quirúrgicos urológicos: una evaluación y recomendaciones del panel de guías clínicas de la EAU. Actas Urol Esp. 2013 [acceso: 11/12/2021]; 37(1): 1-11. Disponible en: https://uroweb.org/wp-content/uploads/2012-Mitropoulos-D-et-al-Actas-Urol-Esp-July-2013-37-1-11-Grading-of-Complications.pdf
8. Royal College of Obstetricians and Gynaecologists.Classification of laparoscopic procedures per level ofdifficulty. London: RCOG; 2001. DOI: 10.1007/s10397-008-0390-1
9. Vallancien G, Cathelineau X, Baumert H, Doublet JD, Guillonneau B. Complications of transperitoneal laparoscopic surgery in Urology: Review of 1,311 procedures at a single center. J Urol. 2002 [acceso: 21/12/2021]; 168(1): 23-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/12050484/
10. Schwartz Manual de Cirugía. 8a edición. Texas, Houston: Mc Graw Gill Interamericana; 2007.
11. Querleu D, Chapron C. Complications of gynecologic laparoscopic surgery. Current Opinion in Obstetrics & Gynecology. 1995 [acceso: 21/12/2021]; 7(4):257-61. Disponible en: https://pubmed.ncbi.nlm.nih.gov/7578963/
12. Chapron C, Querleu D, Bruhat MA, Madelenat P, Fernández H, Pierre F, et al. Surgical complications of diagnostic and operative gynecological laparoscopy: a series of 29,966 cases. Human Reproducción. 1998; 13(4):867-72. DOI: 10.1093/humrep/13.4.867
13. Clavien PA, Strasberg SM. Clasificación de la gravedad de las complicaciones quirúrgicas. Ann Surg. 2009; 250(2):197-8. DOI: 10.1097/SLA.0b013e3181b6dcab
14. Dindo D, Demartines N, Clavien PA. Classification surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004; 240(2):205-13. DOI: 10.1097/01.sla.0000133083.54934.ae
15. Esteva Miró C, Núñez García B, Pérez-Gaspar M, Santiago Martínez S, Jiménez Gómez J, Betancourth Alvarenga JE, et al. Applicability of Clavien-Dindo classification in Nuss procedure surgical complications. Cir Pediatr. 2020 [acceso: 19/12/2021]; (4):154-159. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33016653/
16. Ibáñez Pradas V, Couselo Jerez M, Carazo Palacios ME. Thoracoscopic esophageal atresia repair: learning curve analysis using Clavien-Dindo surgical complication classification. Cir Pediatr. 2020;33(4):166-171. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33016655/
17. Bolliger M, Kroehnert JA, Molineus F, Kandioler D, Schindl M, Riss P. Experiences with the standardized classification of surgical complications (Clavien-Dindo) in general surgery patients. European Surgery. 2018; 50(6):256-61. DOI: 10.1007/s10353-018-0551-z
18. Chapron C, Fauconnier A, Goffinet F, BréartG,Dubuisson JB. Laparoscopic surgery is notinherently dangerous for patients presenting withbenign gynecologic pathology: results of a metaanalysis. Hum Reprod. 2002; 17:1334-42. DOI: 10.1093/humrep/17.5.1334
19. Alkatout I. Complications of Laparoscopy inConnection With Entry Techniques. J Gynecol Surg. 2017; 33(3):81-91. DOI: 10.1089/gyn.2016.0111
20. Fuentes MN, Rodríguez-Oliver A, Naveiro Rilo JC, Paredes AG, Aguilar Romero MT, Parra JF. Complications of Laparoscopic Gynecologic Surgery. JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2014; 18(3):e2014.00058. DOI: 10.4293/JSLS.2014.00058
21. Worley MJ Jr, Anwandter C, Sun CC, dos Reis R, Nick AM, Frumovitz M, et al. Impacto del volumen del cirujano en la seguridad del paciente en la cirugía ginecológica laparoscópica. Gynecol Oncol. 2012 Abr; 125(1):241-4. DOI: 10.1016/j.ygyno.2011.12.452.
22. Pantoja-Garrido M, Frías-Sánchez Z, Chica-Rubio V, Peláez-Marín G. Experiencia del equipo quirúrgico y grado de dificultad de la intervención. ¿Variables significativas en la incidencia de complicaciones durante la cirugía laparoscópica ginecológica? Ginecol. obstet. Méx. 2019; 87(7): 417-424. DOI: 10.24245/gom.v87i7.2810.
23. Díaz R. Elisa et al. Complicaciones quirúrgicas intraoperatorias en laparoscopía ginecológica en el Hospital Padre Hurtado. Rev. chil. obstet. ginecol. 2020; 85(4): 343-50. DOI: 10.4067/S0717-75262020000400343
24. Sinha, R, Jalote, I, Sinha, M, Raje Sh, Rao G . Surgical complications in 448 gynecological 3D laparoscopic surgeries adopting the Clavien-Dindo classification. Gynecol Surg. 2016; 13(1):333-8. DOI: 10.1007/s10397-016-0973-1
25. Aichele D, Maldonado C, Castillo F, Carvajal R, Miranda C, Miranda-Mendoza I. Histeroscopía quirúrgica: Experiencia, resultados y complicaciones según clasificación Clavien-Dindo. Rev. chil. Obstet. ginecol. 2020; 85(3): 236-44. DOI: 10.4067/S0717-75262020000300236
26. Yim GW, Kim SW, Nam EJ, Kim S, Kim HJ, Kim YT. Surgical Outcomes of Robotic Radical Hysterectomy Using Three Robotic Arms versus Conventional Multiport Laparoscopy in Patients with Cervical Cancer. Yonsei Medical Journal. 2014; 55(5):1222. DOI: 10.3349/ymj.2014.55.5.122.
27. Park SH, Lee J-Y, Nam EJ, Kim S, Kim SW, Kim YT. Prediction of perioperative complications after robotic-assisted radical hysterectomy for cervical cancer using the modified surgical Apgar score. BMC Cancer. 2018; 21(18): 1. DOI: 10.1186/s12885-018-4809-4
28. Otake A, Horai M, Tanaka E, Toda A, Miyoshi Y, Funada R, et al. Influences of total laparoscopic hysterectomy according to body mass index (underweight, normal weight, overweight, or obese). Gynecology and Minimally Invasive Therapy. 2019; 8(1):19. DOI:
10.4103/GMIT.GMIT_53_18
29. Urgellés Carreras SA, Álvarez Fiallo M, Reyes Guerrero E, Acosta León O. Complicaciones en la cirugía ginecológica. Rev Cub Med Mil. 2020 [acceso: 22/12/2021]; 49(4): e781. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572020000400015&lng=es
30. Barreras-González J, Díaz-Ortega I, López-Milhet A, Pereira-Fraga J, Castillo-Sánchez Y, Sánchez-Hernández E. Histerectomía laparoscópica en 1 599 pacientes. Revista Cubana de Cirugía. 2015 [acceso: 26/11/2021]; 54 (3): 1. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/299
31. Johnson N, Barlow D, Lethaby A. Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. BMJ. 2005; 330:1478. DOI: 10.1136/bmj.330.7506.1478
32. Stoica RA, Enache T, Iordache N. Intra operative lesion of the pelvic ureter solved in a minimally invasive manner. Journal of Medicine and Life. 2014 [acceso: 19/12/2021]; 7(3):396-8. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25408763/
33. Ruiz J. Evolución histórica de la terapéutica endoscópica. En: Ruiz J, Torres R, Martínez MA, Fernández A, Pascual H. Cirugía Endoscópica. Fundamentos y aplicaciones. La Habana: Editorial Científico Técnica; 2000. p. 19-22.
34. Cruz Hernández ML, Barreras González JE, Morera Pérez M, Gallinat Martin Y. Sacrocolpopexia laparoscópica como modalidad de tratamiento en las pacientes con prolapso de cúpula vaginal. Rev Cubana Obstet Ginecol. 2017 [acceso: 20/12/2021]; 43(4):43-52. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2017000400004&lng=es
35. Salazar Ortega AI, Ducasses Olivares S, Domínguez González EJ, Mirabal Fariñas Ao, Rodríguez Morales A. Complicaciones intraoperatorias y posquirúrgicas tempranas en cirugía lumbo-laparoscópica urológica. MEDISAN. 2015 [acceso: 19/12/2021]; 19(10): 1248-58. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192015001000010&lng=es
Published
2022-11-26
How to Cite
1.
Santiesteban Pupo WE, Yanes Cicard A, Arias Sánchez G. Complications of laparoscopic gynecological surgery. Rev Cubana Med Milit [Internet]. 2022 Nov. 26 [cited 2025 Jun. 17];51(4):e02201830. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1830
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