Gastrointestinal Complications Of Laparoscopic Urologic Surgery In View Of The Current Literature

Yıl 2015, Cilt: 12 Sayı: 2, 311 - 323, 30.08.2015

Yiğit Akın , İşıl Başara Akın , Mehmet Gülüm , Mehmet Demir , Halil Çiftçi , Harun Aydoğan Ercan Yeni

Öz

Recently, laparoscopic urologic surgical procedures have been preferred for most of the major urologic
surgical procedures in advanced surgical centers. Upto now, benefits of laparoscopic urologic surgeries have
been presented in numerous studies. The consciousness has been appeared in patients parallel to clinicians
prefered these surgical options. Although there are some benefits, there are complications in laparoscopic
urologic surgery, notably gastrointestinal complications can annoy. In this review, we evaluated
gastrointestinal complications of laparoscopic urologic surgery and its diagnosis methods in view of current
literature.

Anahtar Kelimeler

Complication, Laparoscopy, Surgery

Laparoskopik Ürolojik Cerrahinin Güncel Literatür Eşliğinde Gastrointestinal Komplikasyonları

Öz

Günümüzde gelişmiş cerrahi merkezlerde, ürolojik majör cerrahi işlemlerin çoğunda laparoskopi
uygulamaları tercih edilmektedir. Şimdiye kadar yapılmış birçok çalışmada laparoskopik ürolojik cerrahinin
çeşitli faydaları tarif edilmiştir. Klinisyenlerin bu cerrahi seçeneği daha çok tercih etmesine paralel olarak,
hastalarda da bu cerrahi seçenek için bilinç oluşmaya başlamıştır. Birçok faydası olsa da laparoskopik
ürolojik cerrahinin komplikasyonları mevcuttur ve özellikle de gastrointestinal komplikasyonları can sıkıcı
olabilmektedir. Bu derlemede güncel literatür eşliğinde laparoskopik ürolojik cerrahinin gastrointestinal
komplikasyonları ve tanı yöntemleri gözden geçirilmektedir. 

Anahtar Kelimeler

Cerrahi, Komplikasyon, Laparoskopi

Kaynakça

• 1- Clayman RV, Kavoussi LR, Figenshau RS, Chandhoke PS, Albala DM. Laparoscopic nephroureterectomy: initial clinical case report. J Laparoendosc Surg 1991;1(6): 343-9. 2- Janetschek G, Hobisch A, Peschel R, Bartsch G. Laparoscopic retroperitoneal lymph node dissection. Urology. 2000;55(1):136-40. 3- Guillonneau B, Vallencien G. Laparoscopic radical prostatectomy: the Montsouris technique. J Urol 2000;163(6) :1643–9. 4- Gozen AS, Akin Y. Are structured curriculums for laparoscopic training useful? A review of current literature. Curr Opin Urol. 2015;25(2):163-7. 5- Akin Y, Ates M, Celik O, Ucar M, Yucel S, Erdogru T. Complications of urologic laparoscopic surgery: a center surgeon's experience involving 601 procedures including the learning curve. Kaohsiung J Med Sci 2013;29(5):275-9. 6- Klingler HC, Remzi M, Janetschek G, Marberger M Benefits of laparoscopic renal surgery are more pronounced in patients with a high body mass index. Eur Urol 2003;43(5):522-7. 7- Rassweiler J, Seemann O, Schulze M, Teber D, Hatzinger M, Frede T. Laparoscopic versus open radical prostatectomy: a comparative study at a single institution. J Urol 2003;169(5): 1689-93 8- Arslan M, Akin Y, Ates M, Gözen AS, Tunç L, Güven S.Comparison of Laparoscopic Vessel Sealing Devices in a Porcine Model;Turkurolap Group Study. Kuwait Medical Journal 2013;16(3):389-91. 9- Akin Y, Avci E, Gulmez H, Akand M, Akif Ciftcioglu M, Bassorgun I, Erdogru T. Indications for intraoperative frozen section in robot assisted radical prostatectomy: a pilot study. Eur Rev Med Pharmacol Sci 2013;17(18):2523-9. 10- Tunc L, Gumustas H, Akin Y, Atkin S, Peker T, Erdem O, Bozkirli I. A novel surgical technique for preserving the bladder neck during robot-assisted laparoscopic radical prostatectomy: preliminary results. J Endourol 2015;29(2):186-91. 11- Liakakos T, Thomakos N, Fine PM, Dervenis C, Young RL. Peritoneal adhesions: etiology, pathophysiology, and clinical significance. Recent advances in prevention and management. Dig Surg 2001;18(4):260–73. 12- Parsons JK, Jarrett TJ, Chow GK, Kavoussi LR. The effect of previous abdominal surgery on urological laparoscopy. J Urol 2002; 168(6):2387-90. 13- Nazemi T, Galich A, Sterrett S, Klingler D, Smith L, Balaji KC. Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results. Int Braz J Urol 2006; 32(1):15-22. 14- de Menezes Ettinger JE, Santos-Filho PV, Oliveira PD, Azaro E, Mello CA, do Amaral PC, Fahel E.Laparoscopic gastric banding in the rat model as a means of videolaparoscopic training. Obes Surg 2006;16(7):903-7. 15- El-Galley R, Hammontree L, Urban D, Pierce A, Sakawi Y. Anesthesia for laparoscopic donor nephrectomy: is nitrous oxide contraindicated? J Urol 2007;178(1):225-7. 16- Hora M, Stránský P, Trávníček I, Urge T, Eret V, Kreuzberg B, Baxa J, Mírka H, Petersson F, Hes O, Ferda J. Three-tesla MRI biphasic angiography: a method for preoperative assessment of the vascular supply in renal tumours: a surgical perspective. World J Urol 2013;31(5):1171-6 17- Quek LH, Pua U. Inadvertent ureteric ligation: diagnosis using multidetector computed tomography. Urology 2009;74(5):1015-6. 18- Inoue S, Shiina H, Arichi N, Mitusi Y, Hiraoka T, Wake K, Sumura M, Honda S, Urakami S, Igawa M. Rare complication of a sigmoid colon perforation after a kidney transplant with an artificial vascular graft. Exp Clin Transplant. 2011;9(3):207-10. 19- Matsushita K, Matsubara S, Tsumura K, Taguchi I, Kawabata G. Computed tomography appearance of Hemo-lok clips in patients who have undergone laparoscopic nephrectomy or nephroureterectomy. JSLS 2011;15(4):517-9. 20- Balzarro M, Rubilotta E, Sarti A, Curti P, Artibani W. A unique case of late complication of rectum mesh erosion after laparoscopic sacrocolpopexy. Urol Int. 2014;92(3):363-5. 21- Ahmad G, O'Flynn H, Duffy JM, Phillips K, Watson A. Laparoscopic entry techniques. Cochrane Database Syst Rev. 2012;2:CD006583. 22- Hasson HM. A modified instrument and method for laparoscopy. Am J Obstet Gynecol. 1971;110(6):886–7. 23- Gözen AS, Akin Y, Akgul M, Yazici C, Klein J, Rassweiler J. A novel practical trocar placement technique for extraperitoneal laparoscopic and roboticassisted laparoscopic radical prostatectomy in patients with lower midline abdominal incisions. J Laparoendosc Adv Surg Tech A2014;24(6):417-21. 24- Schwartz MJ, Faiena I, Cinman N, Kucharczyk J, Meriggi JS, Waingankar N, Richstone L, Kavoussi LR. Laparoscopic bowel injury in retroperitoneal surgery: curr ent inc idenc e and out come s. J Urol. 2010;184(2):589-94. 25- Meraney AM, Samee AA, Gill IS. Vascular and bowel complications during retroperitoneal laparoscopic surgery. J Urol 2002;168(5):1941-4. 26- Parsons JK, Varkarakis I, Rha KH, Jarrett TW, Pinto PA, Kavoussi LR. Complications of abdominal urologic laparoscopy: longitudinal five-year analysis. Urology 2004;63(1):27-32. 27- Bishoff JT, Allaf ME, Kirkels W, Moore RG, Kavoussi LR, Schroder F. Laparoscopic bowel injury: incidence and clinical presentation. J Urol 1999;161(3):887-90. 28- Putman SS, Bishoff JT. Visceral and Gastrointestinal Complications of Laparoscopic and Robotic Urologic Surgery. In: R. Ghavamian, eds. Complications of Laparoscopic and Robotic Urologic Surgery. New York: Bronx, 2010: 73-90. 29- Reich H. Laparoscopic bowel injury. Surg Laparosc Endosc. 1992;2(1):74-8. 30- Chung BI, Desai MM, Gill IS. Management of intraoperative splenic injury during laparoscopic urological surgery. BJU Int 2011;108(4):572-6. 31- Varkarakis IM, Allaf ME, Bhayani SB, Inagaki T, Su LM, Kavoussi LR, Jarrett TW. Pancreatic injuries during laparoscopic urologic surgery. Urology 2004; 64(6):1089-93. 32- Chien GW, Orvieto MA, Galocy RM, Sokoloff MH, Shahav AL. Technical considerations for laparoscopic right renal surgery in presence of Riedel's lobe of the liver. J Endourol 2005;19(3):300-2. 33- Montz FJ, Holschneider CH, Munro MG. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994; 84(5):881–4. 34- Duron JJ, Hay JM, Msika S, Gaschard D, Domergue J, Gainant A, Fingerhut A. Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery: a retrospective multicenter study. Arch Surg 2000;135(2):208–12. 35- Chennamsetty A, Hafron J, Edwards L, Pew S, Poushanchi B, Hollander J, Killinger KA, Coffey MP, Peters KM. Predictors of incisional hernia after robotic a ssist e d r a d i c a l p r o st a t e c t omy. Ad v Ur o l. 2015;2015:457305. 36- Yamamoto M1, Minikel L, Zaritsky E. Laparoscopic 5- mm trocar site herniation and literature review. JSLS 2011;15(1):122-6. 37- Stout L, Laub DJ, Zimmern PE. Small bowel obstruction at the site of introduction of the trocar: an unusual complication of laparoscopy. J Urol (Paris). 1994;100(3):151-4. 38- Kang DI, Woo SH, Lee DH, Kim IY. Incidence of portsite hernias after robot-assisted radical prostatectomy with the fascial closure of only the midline 12-mm port site. J Endourol 2012;26(7):848-51 39- Kouba EJ, Hubbard JS, Wallen E, Pruthi RS. Incisional hernia in a 12-mm non-bladed trocar site following laparoscopic nephrectomy. Urol Int 2007;79(3):276-9. 40- Montz FJ, Holschneider CH, Munro MG. Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 1994; 84:881–4. 41- Vilos GA, Ternamian A, Dempster J, Laberge PY, The Society of Obstetricians and Gynaecologists of Canada. Laparoscopic entry: a review of techniques, technologies, and complications. J Obstet Gynaecol Can 2007;29(5):433- 65. 42- Bird VG, Au JK, Sandman Y, De Los Santos R, Ayyathurai R, Shields JM. Comparison of different extraction sites used during laparoscopic radical nephrectomy. J Urol 2009;181(4):1565–7 43- Henry JF, Defechereux T, Raffaelli M, Lubrano D, Gramatica L. Complications of laparoscopic adrenalectomy: results of 169 consecutive procedures. World J Surg. 2000;24(11):1342-6. 44- Arslan M, Akin Y, Ates M, Degirmenci T, Kozacioglu Z, Ors B, Gunlusoy B. Changing surgical approaches for laparoscopic adrenalectomy: single-surgeon data of a 6- year experience. Urol Int. 2013;91(3):304-9 45- Wu JC, Wu HS, Lin MS, Chou DA, Huang MH. Comparison of robot-assisted laparoscopic adrenalectomy with traditional laparoscopic adrenalectomy - 1 year followup. Surg Endosc 2008;22(2):463-6. 46- http://uroweb.org/guideline/robotic-and-single-sitesurgery-in-urology/ Son erişim: 27.02.2015 47- Elsamra S, Pareek G. Complications of laparoscopic renal surgery. Int J Urol 2010;17(3):206-14. 48- 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;168(1):23-6. 49- Gill IS, Matin SF, Desai MM, Kaouk JH, Steinberg A, Mascha E, Thornton J, Sherief MH, Strzempkowski B, Novick AC. Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. J Urol. 2003;170(1):64-8. 50- Pareek G, Hedican SP, Gee JR, Bruskewitz RC, Nakada SY. Meta-analysis of the complications of laparoscopic renal surgery: comparison of procedures and techniques. J Urol 2006;175(4):1208-13. 51- Elsamra SE, Leone AR, Lasser MS, Thavaseelan S, Golijanin D, Haleblian GE, Pareek G. Hand-assisted laparoscopic versus robot-assisted laparoscopic partial nephrectomy: comparison of short-term outcomes and cost. J Endourol 2013;27(2):182-8. 52- Desai MM, Strzempkowski B, Matin SF, Steinberg AP, Ng C, Meraney AM, Kaouk JH, Gill IS. Prospective randomized comparison of transperitoneal versus retroperitoneal laparoscopic radical nephrectomy. J Urol 2005;173(1):38-41. 53- Fan X, Xu K, Lin T, Liu H, Yin Z, Dong W, Huang H, Huang J. Comparison of transperitoneal and retroperitoneal laparoscopic nephrectomy for renal cell carcinoma: a systematic review and meta-analysis. BJU Int 2013;111(4):611-21. 54- Choi JE, You JH, Kim DK, Rha KH, Lee SH. Comparison of perioperative outcomes between robotic and laparoscopic partial nephrectomy: a systematic review and meta-analysis. Eur Urol. 2015;67(5):891- 901 55- Wu Z, Li M, Liu B, Cai C, Ye H, Lv C, Yang Q, Sheng J, Song S, Qu L, Xiao L, Sun Y, Wang L. Robotic versus open partial nephrectomy: a systematic review and meta-analysis. PLoS One. 2014;9(4):e94878. 56- Merseburger AS, Herrmann TR, Shariat SF, Kyriazis I, Nagele U, Traxer O, Liatsikos EN; European Association of Urology. EAU guidelines on robotic and single-site surgery in urology. Eur Urol. 2013;64(2): 277-91. 57- Wolf JS Jr, Dash A, Hollenbeck BK, Johnston WK 3rd, Madii R, Montgomery JS. Intermediate followup of hand assisted laparoscopic nephroureterectomy for urothelial carcinoma: factors associated with outcomes. J Urol 2005;173(4):1102-7. 58- Trudeau V, Gandaglia G, Shiffmann J, Popa I, Shariat SF, Montorsi F, Perrotte P, Trinh QD, Karakiewicz PI, Sun M . R o b o t - a ssist e d v e rs u s l a p a r o s c o p i c nephroureterectomy for upper-tract urothelial cancer: A population-based assessment of costs and perioperative outcomes. Can Urol Assoc J 2014; 8(9-10):E695-701. 59- Ates M, Ozgok Y, Akin Y, Arslan M, Akand M, Hoscan MB. Laparoscopic Stepwise-Cut Double Initial Stay Suture Pyeloplasty: Our Novel Surgical Technique. J Laparoendosc Adv Surg Tech A. 2015;25(3):228-33. 60- Rassweiler JJ, Teber D, Frede T. Complications of laparoscopic pyeloplasty. World J Urol 2008;26(6):539- 47. 61- Mufarrij PW, Woods M, Shah OD Palese MA, Berger AD, Thomas R, Stifelman MD. Robotic dismembered pyeloplasty: a 6-year, multi-institutional experience. J Urol 2008;180(4):1391–6. 62- Buffi NM, Lughezzani G, Fossati N, Lazzeri M, Guazzoni G, Lista G, Larcher A, Abrate A, Fiori C, Cestari A, Porpiglia F. Robot-assisted, single-site, dismembered pyeloplasty for ureteropelvic junction obstruction with the new da Vinci platform: a stage 2a study. Eur Urol 2015;67(1):151-6 63- Steiner H, Peschel R, Janetschek G, Höltl L, Berger AP, Bartsch G, Hobisch A. Long-term results of laparoscopic retroperitoneal lymph node dissection: a singl e - c ent e r 10-ye a r expe ri enc e . Urology 2004;63(3):550-5. 64- Permpongkosol S, Lima GC, Warlick CA, Allaf ME, Varkarakis IM, Bagga HS, Kohanim S, Kavoussi LR. Postchemotherapy laparoscopic retroperitoneal lymph node dissection: evaluation of complications. Urology. 2007;69(2):361-5. 65- Akin Y, Celik O, Ates M, Nuhoglu B, Erdogru T. Evaluation of open and laparoscopic radical cystoprostatectomy combined with orthotopic neobladder: a single-surgeon experience. Urol Int 2013; 90(3):348-53. 66- http://uroweb.org/guideline/bladder-cancer-muscleinvasive-and-metastatic/son erişim 27.02.2015 67- Hemal AK, Kolla SB. Comparison of laparoscopic and open radical cystoprostatectomy for localized bladder cancer with 3-year oncological followup: a single surgeon experience. J Urol 2007; 178(6): 2340–3. 68- Abraham JB, Young JL, Box GN, Lee HJ, Deane LA, Ornstein DK. Comparative analysis of laparoscopic and robot-assisted radical cystectomy with ileal conduit urinary diversion. J Endourol 2007;21(12):1473-80. 69- Haber GP, Crouzet S, Gill IS. Laparoscopic and robotic assisted radical cystectomy for bladder cancer: a critical analysis. Eur Urol 2008;54(1): 54-62. 70- Huang J, Lin T, Xu K, Huang H, Jiang C, Han J, Yao Y, Guo Z, Xie W, Yin X, Zhang C. Laparoscopic radical cystectomy with orthotopic ileal neobladder: a report of 85 cases. J Endourol 2008;22(5):939-46. 71- Tang K, Xia D, Li H, Guan W, Guo X, Hu Z, Ma X, Zhang X, Xu H, Ye Z. Robotic vs. open radical cystectomy in bladder cancer: A systematic review and meta-analysis. Eur J Surg Oncol 2014;40(11):1399-411. 72- Coughlin LM, Orr DP 2nd. Laparoscopic management of a small bowel herniation from an ileal conduit: report of a case and review of the literature. Surg Laparosc Endosc Percutan Tech 2013;23(2):e81-3. 73- Rassweiler J, Stolzenburg J, Sulser T, Deger S, Zumbé J, Hofmockel G, John H, Janetschek G, Fehr JL, Hatzinger M, Probst M, Rothenberger KH, Poulakis V, Truss M, Popken G, Westphal J, Alles U, Fornara P. Laparoscopic radical prostatectomy--the experience of the German Laparoscopic Working Group. Eur Urol 2006;49(1):113-9. 74- Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer 2007; 110(9): 1951–8. 75- Tewari A, Sooriakumaran P, Bloch DA, SeshadriKreaden U, Hebert AE, Wiklund P. Positive surgical margin and perioperative complication rates of primary surgical treatments for prostate cancer: a systematic review and meta-analysis comparing retropubic, laparoscopic, and robotic prostatectomy. Eur Urol 2012; 62(1):1-15.