Zusammenfassung
Bei Lagerung, Zugang und Instrumentation unterscheidet sich die minimal-invasive Chirurgie (MIC) fundamental von der konventionell-offenen Chirurgie. Jeder dieser Aspekte ist mit einer eigenen, spezifischen Morbidität assoziiert, wie z. B. Lagerungsschäden, Trokarverletzungen, Hyperkapnie und thermische Läsionen. Technologische Entwicklungen und zunehmende Erfahrung erklären die Reduktion von MIC-assoziierten Komplikationen und das Meistern von besonderen Herausforderungen. Diese Fortschritte sind Voraussetzung für die beeindruckende Ausbreitung dieser neuen Operationsform in der Chirurgie des Häufigen wie Cholezystektomie oder Hernienreparatur und in der Chirurgie des Speziellen wie bariatrische, onkologische oder Thoraxchirurgie. Die vorliegende Übersichtsarbeit befasst sich mit den MIC-spezifischen und MIC-typischen Komplikationen.
Abstract
Minimally invasive surgery (MIS) is fundamentally different from open surgery regarding positioning of the patient, access routes and instrumentation. Each of these aspects is associated with its own specific morbidity, such as positioning-related complications, trocar-induced lesions, hypercapnia-associated phenomena and thermal damage. The growing experience of surgeons and technological progress have increased patient safety to a maximum and have resulted in an impressive spread of MIS in the various fields of surgery including the most common, such as cholecystectomy and hernia repair and special fields, such as bariatric, thoracic and oncological surgery. This narrative review summarizes the current knowledge on the inherent complications of MIS.
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Runkel, N., Jurcovan, O. Die spezifischen Komplikationsrisiken der minimal-invasiven Chirurgie. Chirurg 86, 1097–1104 (2015). https://doi.org/10.1007/s00104-015-0105-x
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DOI: https://doi.org/10.1007/s00104-015-0105-x