Complications of diagnostic laparoscopy in Dallas: a 7-year prospective study.

Abstract:

:The complication rate for diagnostic laparoscopy reported in the literature is very low (1.07%, 0.3%, and 0.03% for minor and major complications, and deaths, respectively). A prospective study of the complications of diagnostic laparoscopy by 17 gastroenterologists in the Dallas-Fort Worth metropolitan area is reported. In 603 laparoscopies performed during a 7-year period, there were 31 (5.1%) minor complications and 14 (2.3%) major complications requiring surgery or transfusion. These rates are five- and sevenfold higher (p less than 0.01) than are reported in retrospective series in the literature. There were three (0.49%) deaths in this series. It is concluded that retrospective studies have underestimated the complication rate of laparoscopy. However, despite the higher complication rate found in this prospective study, laparoscopy appears to be as safe or safer than other methods of establishing a tissue diagnosis under direct vision in intraabdominal diseases.

journal_name

Gastrointest Endosc

authors

Kane MG,Krejs GJ

doi

10.1016/s0016-5107(84)72394-7

subject

Has Abstract

pub_date

1984-08-01 00:00:00

pages

237-40

issue

4

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(84)72394-7

journal_volume

30

pub_type

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