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Minerva Surgery 2021 May 04

DOI: 10.23736/S2724-5691.21.08691-3

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Intraoperative complications during laparoscopic total mesorectal excision

Blanche TESTE, Eric RULLIER

Department of Colorectal Surgery, Haut-Levèque Hospital, University of Bordeaux, Pessac, France


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Intraoperative complication during laparoscopic mesorectal excision for rectal cancer is a common complication occurring in 11% to 15% of the cases. They are probably underestimated because not systematically reported. The most frequent intraoperative complications are haemorrhage (3-7%), tumour perforation (1-4%), bowel injury (1-3%), ureter injury (1%), urogenital injury (2%), other organ injury (<1%), and anastomotic complications (1%). The mechanisms, management and prevention of vascular port injury, inferior mesenteric artery bleeding, small bowel and colon perforation, ureteral and urethral injury, pelvic nerve damage, tumour perforation and anastomotic failure are described. This review underlines the necessity to prevent intraoperative complication to avoid operative death and severe side-effects.


KEY WORDS: Intraoperative complication; Morbidity; Total mesorectal excision; Laparoscopy

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