Table 3.
Perioperative complications
| |
Primary approach via laparotomy |
Primary laparoscopic approach |
P |
All surgeries |
|||
|---|---|---|---|---|---|---|---|
| 61 | 44 | 105 | |||||
|
Overall complications | |||||||
|
No complications |
43 |
70.5% |
36 |
81.8% |
0.185b |
79 |
75.2% |
|
Yes |
18 |
29.5% |
8 |
18.2% |
|
26 |
24.8% |
|
Intraoperative complications | |||||||
|
No complications |
54 |
88.5% |
44 |
100.0% |
0.020b |
98 |
93.3% |
|
Yes |
7 |
11.5% |
0 |
0.0% |
|
7 |
6.7% |
| Intraoperative transfusions |
5 |
62.5% |
0 |
|
|
5 |
62.5% |
| Cardiac arrest |
1 |
12.5% |
0 |
|
|
1 |
12.5% |
| Bladder lesions |
1 |
12.5% |
0 |
|
|
1 |
12.5% |
| Ureter lesions |
0 |
0% |
0 |
|
|
0 |
0% |
| Bowel lesions |
0 |
0% |
0 |
|
|
0 |
0% |
| Intraoperative splenic injury |
1 |
12.5% |
0 |
|
|
1 |
12.5% |
|
Complications in total |
8 |
100.0% |
0 |
|
|
8 |
100.0% |
|
Postoperative complications/morbidity | |||||||
|
No complications |
49 |
80.3% |
36 |
81.8% |
0.848b |
85 |
81.0% |
|
Yes |
12 |
19.7% |
8 |
18.2% |
|
20 |
19.0% |
| Postoperative transfusion |
5 |
29.4% |
1 |
8.3% |
|
6 |
20.7% |
| Postoperative hemorrhage |
0 |
0% |
0 |
0% |
|
0 |
0% |
| Blood glucose dysregulation |
1 |
5.9% |
0 |
0% |
|
1 |
3.4% |
| Fever >6 days after surgery |
1 |
5.9% |
2 |
16.7% |
|
3 |
10.3% |
| Wound infection |
2 |
11.8% |
2 |
16.7% |
|
4 |
13.8% |
| Delayed wound healing |
1 |
5.9% |
1 |
8.3% |
|
2 |
6.9% |
| Persistent lymphatic cysts |
1 |
5.9% |
0 |
0% |
|
1 |
3.4% |
| Circulatory dysregulation |
1 |
5.9% |
2 |
16.7% |
|
3 |
10.3% |
| Deep vein thrombosis |
2 |
11.8% |
0 |
0% |
|
2 |
6.9% |
| Pulmonary embolism |
0 |
0% |
0 |
0% |
|
0 |
0% |
| Acute renal failure |
0 |
0% |
1 |
8.3% |
|
1 |
3.4% |
| Urinary retention |
1 |
5.9% |
0 |
0% |
|
1 |
3.4% |
| Ileus |
0 |
0% |
1 |
8.3% |
|
1 |
3.4% |
| Pleural effusion |
0 |
0% |
1 |
8.3% |
|
1 |
3.4% |
| Pain syndrome |
1 |
5.9% |
0 |
0% |
|
1 |
3.4% |
| Re-Laparotomy |
0 |
0% |
2 |
16.7% |
|
2 |
6.9% |
| Complications in total | 16 | 100.0% | 13 | 100.0% | 29 | 100.0% | |
Complications of primary laparotomy (n = 61) and laparoscopy (n = 44), multiple complications per patient possible. Besides overall complication rates, intraoperative and postoperative events are listed separately.
(b: Chi2test).