Surgical laparoscopy & endoscopy
-
Surg Laparosc Endosc · Jun 1993
Case ReportsTrocar site abscess due to spilled gallstones: an unusual late complication of laparoscopic cholecystectomy.
We describe a case of a 31-year-old woman who had an unusual complication after undergoing laparoscopic cholecystectomy. A subcutaneous abscess developed at the site of a 5-mm subcostal accessory port several months postoperatively. When drained, the abscess contained small gallstones that had spilled into the peritoneal cavity upon extraction of the gallbladder during laparoscopic cholecystectomy.
-
Surg Laparosc Endosc · Jun 1993
Case ReportsIntraoperative pneumothorax during laparoscopic cholecystectomy: a complication of prior transdiaphragmatic surgery.
Pulmonary complications of laparoscopic surgery include subcutaneous emphysema, mediastinal emphysema, hypercarbia, and pneumothorax. Pneumothorax is a rare complication that may occur in patients with diaphragmatic defects. We report a case of intraoperative left-sided pneumothorax in a patient who had undergone an esophagogastrectomy for carcinoma 16 years previously. The mechanisms for development of this complication and its management are discussed.
-
Surg Laparosc Endosc · Jun 1993
Preliminary results of laparoscopic repair of perforated duodenal ulcers.
A consecutive series of six patients admitted with perforated anterior duodenal ulcer were operated on using a laparoscopic technique. Only one operation was unsuccessful and required conversion to conventional open laparotomy. ⋯ Early mobilisation and discharge from the hospital (mean, 6 days) were notable features in this series. In conclusion, laparoscopic repair of uncomplicated perforated duodenal is a safe and effective technique.