Prevention and treatment of the transoperative surgical complications of the minimally invasive colorectal surgery
Keywords:
cirugía laparoscópica, colectomía, lesiones transoperatoriasAbstract
Introduction: The minimally invasive colorectal surgery has presented a slow but sustained advance during the last thirty years, worlwide. Due to its benefits nowadays when it is compared with the conventional surgery, it has been allowed to be widely accepted and consolidated. It is an advanced surgery with high complexity and not without complications.
Objective: To describe the transoperative surgical complications of the minimally invasive colorectal surgery, making emphasis on its prevention and treatment.
Methods: Complications AND Laparoscopic surgery; Complications, prevention and treatment AND Colorectal surgery; Complications of minimally invasive AND transoperative surgery. To carry out this review, a selection of 19 documents was made, with preference for articles in Spanish and published in the last five years. Experiences of some experts from different countries reflected in multicenter studies we're analyzed as fundamental pillars to understand this theme.
Results: The transoperative complications are produced as result of lesions during the insertion of Veress needle, trocars and the pneumoperitoneum, and also in the colorectal resection properly said. Hypogastric nerve injuries are the most common during rectal resections.
Conclusions: The rates of transoperative complications of this surgery are low. The surgeons who carry out it must have enough experience about the colorectal surgery and the peculiarities that the videolaparoscopic surgery imposes. The early diagnosis of the lesions occurred and the efficient and timely transoperative treatment of them foresee the morbimortality associated to them.
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