Univ. of Arizona Health Sciences Center, Tucson. Details the fundamental aspects of minimally invasive laparoscopy and illustrates methods for the identification and prevention of surgical complications. Considers the physiologic consequences of laparoscopic procedures and discusses the management of complications to laparoscopic methods.

Preface

iii

Contributors

ix

Anesthetic Considerations/Complications

1

(12)

David C. Cuellar

Timothy D. Averch

Key Points

6

(1)

References

6

(7)

Complications of Laparoscopic Access

13

(20)

Matthew T. Gettman

Introduction

13

(2)

Prevention Strategies

15

(8)

Intraoperative Complications

23

(1)

Postoperative Complications

24

(1)

Conclusion

25

(1)

References

26

(7)

Major Vascular Injuries of Urologic Laparoscopic Surgery

33

(10)

Paul Yurkanin

Eugene Park

Sanjay Ramakumar

Introduction

33

(1)

Review of the Literature

34

(1)

Keys to Diagnosis

35

(1)

Management Strategies

36

(3)

Prevention Techniques

39

(1)

Key Points

39

(1)

References

40

(3)

Stapler Malfunction and Management

43

(6)

David Y. Chan

Introduction

43

(1)

Scope of the Problem

44

(1)

Prevention

45

(1)

Conclusions

46

(1)

Key Points

47

(1)

References

47

(2)

Bowel Injury

49

(18)

Timothy M. Philips

Jay T. Bishoff

Introduction

49

(1)

Review of the Literature

50

(1)

Keys to Diagnosis

51

(6)

Management Strategies

57

(1)

Prevention Techniques

57

(4)

Key Points

61

(1)

References

62

(5)

Gallbladder, Pancreas and Splenic Injuries

67

(6)

Jon Varkarakis

Thomas Jarrett

Sanjay Ramakumar

Gallbladder Injuries

67

(1)

Pancreatic Injuries

68

(2)

Key Points

70

(1)

References

70

(3)

Liver Injury During Urologic Laparoscopy

73

(10)

Kenneth Ogan

Jeffrey A. Cadeddu

Introduction

73

(1)

Abdominal Access and Liver Retraction Injuries

74

(2)

Keys to Diagnosis

76

(1)

Management Strategies

76

(3)

Prevention Techniques

79

(1)

Key Points

79

(1)

References

80

(3)

Pleural Injury During Laparoscopic Renal Surgery

83

(10)

Joseph J. Del Pizzo

Introduction

83

(1)

Intraoperative Recognition

84

(2)

Management

86

(2)

Discussion

88

(3)

Key Points

91

(1)

References

91

(2)

Urinary Leak Complications of Laparoscopy

93

(10)

George K. Chow

Introduction

93

(1)

Ureteral Injuries

94

(3)

Bladder Injuries

97

(1)

Renal Pelvic/Collecting System Injuries

98

(1)

Urethral Injuries

98

(1)

Conclusion

99

(1)

Key Points

100

(1)

References

100

(3)

Complications of Organ Extraction

103

(12)

Oscar Fugita

Introduction

103

(1)

Intact Extraction vs. Morcellation

104

(1)

Complications During Live Donor Nephrectomy

105

(2)

Complications During Radical Nephrectomy

107

(1)

Port Site Seeding

108

(1)

Key Points

109

(1)

References

110

(5)

Hernia

115

(14)

Peter Colegrove

Sanjay Ramakumar

Incidence

115

(3)

Urologic Literature

118

(1)

Recognition

119

(2)

Management Strategies

121

(1)

Prevention Techniques

121

(2)

Key Points

123

(1)

References

123

(6)

Complications of Hand-Assisted Laparoscopic Renal Surgery

129

(20)

Li-Ming Su

R. Ernest Sosa

Introduction

129

(2)

HAL Radical Nephrectomy

131

(2)

HAL Nephroureterectomy

133

(2)

HAL Partial Nephrectomy

135

(2)

HAL Live Donor Nephrectomy

137

(3)

Surgeon ``Morbidity'' Associated with HAL

140

(1)

Conclusions

141

(2)

Key Points

143

(1)

References

144

(5)

Delayed Complications

149

(20)

Ozgur Yaycioglu

Introduction

149

(1)

Indications for Repeated Exploration

150

(9)

Abdominal Air in Postoperative Imaging

159

(5)

Key Points

164

(1)

References

165

(4)

Medicolegal Issues in Laparoscopic Urology

169

(14)

Robert Marcovich

Benjamin R. Lee

Introduction

169

(1)

Current State of Malpractice in Laparoscopic Surgery

170

(1)

Malpractice Litigation in Laparoscopic Urology

171

(2)

The Relationship Between Laparoscopy and Medical Malpractice Litigation

173

(6)

Appendix

179

(1)

References

180

(3)

Index

183

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