Complications of Laparoscopic Colorectal Surgery

Abstract

To determine the nature and mechanisms of complications associated with laparoscopic colorectal surgery, this article analyzes the results of a large single-institution experience and reviews the literature. A series of 450 patients who have undergone a laparoscopic colorectal procedure is presented. There were 7 (1.5%) perioperative deaths in this series. The incidence of respiratory and thromboembolic complications after laparoscopic colorectal surgery is very low (4% and 0.4%, respectively). Wound infection rates are also low (4.3%). Anastomotic complications such as leakage, stenosis, and bleeding still occur and are comparable with the results of open surgery. If conversion to an open procedure is required, then the patient is much more likely to suffer complications. The complications of laparoscopic colorectal surgery compare favorably with those of open procedures, and the potential for increased morbidity resulting from the maintenance of a pneumoperitoneum has not been manifested in this study to date. Copyright© 1997 by W. B. Saunders Company