Complications in pediatric urological laparoscopy: Results of a survey

Research output: Contribution to journalArticle

105 Citations (Scopus)

Abstract

Purpose: To assess the level of activity in pediatric urological laparoscopy and its relationship to complications a survey of the membership of the American Academy of Pediatrics, Section on Urology was conducted. Materials and Methods: An anonymous questionnaire was mailed to 251 pediatric urologists and 153 responses were recorded. Results: Of the respondents 75% reported performing diagnostic and operative laparoscopy (average 54 cases). Patient age ranged from newborn to 20 years. Average case load for laparoscopy was 19 of 401 total cases yearly. More than 5,400 laparoscopic cases are represented by the reported experience. Complications were reported in 5.38% of cases (average complication rate 6.06% per practitioner). Excluding preperitoneal insufflation or subcutaneous emphysema the complication rate was 1.18%. Complications requiring surgical repair occurred in 0.39% of cases, including bowel, bladder and great vessel injury. The clearest predictor of complication rate was laparoscopic experience. The technique used to obtain pneumoperitoneum was also important in that Veress needle technique was associated with a 2.6% significant complication rate in contrast to 1.2% for open technique (p <0.006). Conclusions: Laparoscopy is widely practiced in the pediatric urological community with a good safety record. Complications occur and important means of minimizing them are to provide for supervised experience with emphasis on the details of safe technique.

Original languageEnglish (US)
Pages (from-to)1070-1073
Number of pages4
JournalJournal of Urology
Volume155
Issue number3
DOIs
StatePublished - Jan 1 1996

Fingerprint

Laparoscopy
Pediatrics
Subcutaneous Emphysema
Insufflation
Pneumoperitoneum
Urology
Needles
Urinary Bladder
Newborn Infant
Safety
Surveys and Questionnaires
Wounds and Injuries

Keywords

  • evaluation studies
  • pediatrics
  • peritoneoscopy
  • physician's practice patterns

ASJC Scopus subject areas

  • Urology

Cite this

Complications in pediatric urological laparoscopy : Results of a survey. / Peters, Craig A.

In: Journal of Urology, Vol. 155, No. 3, 01.01.1996, p. 1070-1073.

Research output: Contribution to journalArticle

@article{60c974b76809467baa04ee14f9237259,
title = "Complications in pediatric urological laparoscopy: Results of a survey",
abstract = "Purpose: To assess the level of activity in pediatric urological laparoscopy and its relationship to complications a survey of the membership of the American Academy of Pediatrics, Section on Urology was conducted. Materials and Methods: An anonymous questionnaire was mailed to 251 pediatric urologists and 153 responses were recorded. Results: Of the respondents 75{\%} reported performing diagnostic and operative laparoscopy (average 54 cases). Patient age ranged from newborn to 20 years. Average case load for laparoscopy was 19 of 401 total cases yearly. More than 5,400 laparoscopic cases are represented by the reported experience. Complications were reported in 5.38{\%} of cases (average complication rate 6.06{\%} per practitioner). Excluding preperitoneal insufflation or subcutaneous emphysema the complication rate was 1.18{\%}. Complications requiring surgical repair occurred in 0.39{\%} of cases, including bowel, bladder and great vessel injury. The clearest predictor of complication rate was laparoscopic experience. The technique used to obtain pneumoperitoneum was also important in that Veress needle technique was associated with a 2.6{\%} significant complication rate in contrast to 1.2{\%} for open technique (p <0.006). Conclusions: Laparoscopy is widely practiced in the pediatric urological community with a good safety record. Complications occur and important means of minimizing them are to provide for supervised experience with emphasis on the details of safe technique.",
keywords = "evaluation studies, pediatrics, peritoneoscopy, physician's practice patterns",
author = "Peters, {Craig A.}",
year = "1996",
month = "1",
day = "1",
doi = "10.1016/S0022-5347(01)66394-8",
language = "English (US)",
volume = "155",
pages = "1070--1073",
journal = "Journal of Urology",
issn = "0022-5347",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - Complications in pediatric urological laparoscopy

T2 - Results of a survey

AU - Peters, Craig A.

PY - 1996/1/1

Y1 - 1996/1/1

N2 - Purpose: To assess the level of activity in pediatric urological laparoscopy and its relationship to complications a survey of the membership of the American Academy of Pediatrics, Section on Urology was conducted. Materials and Methods: An anonymous questionnaire was mailed to 251 pediatric urologists and 153 responses were recorded. Results: Of the respondents 75% reported performing diagnostic and operative laparoscopy (average 54 cases). Patient age ranged from newborn to 20 years. Average case load for laparoscopy was 19 of 401 total cases yearly. More than 5,400 laparoscopic cases are represented by the reported experience. Complications were reported in 5.38% of cases (average complication rate 6.06% per practitioner). Excluding preperitoneal insufflation or subcutaneous emphysema the complication rate was 1.18%. Complications requiring surgical repair occurred in 0.39% of cases, including bowel, bladder and great vessel injury. The clearest predictor of complication rate was laparoscopic experience. The technique used to obtain pneumoperitoneum was also important in that Veress needle technique was associated with a 2.6% significant complication rate in contrast to 1.2% for open technique (p <0.006). Conclusions: Laparoscopy is widely practiced in the pediatric urological community with a good safety record. Complications occur and important means of minimizing them are to provide for supervised experience with emphasis on the details of safe technique.

AB - Purpose: To assess the level of activity in pediatric urological laparoscopy and its relationship to complications a survey of the membership of the American Academy of Pediatrics, Section on Urology was conducted. Materials and Methods: An anonymous questionnaire was mailed to 251 pediatric urologists and 153 responses were recorded. Results: Of the respondents 75% reported performing diagnostic and operative laparoscopy (average 54 cases). Patient age ranged from newborn to 20 years. Average case load for laparoscopy was 19 of 401 total cases yearly. More than 5,400 laparoscopic cases are represented by the reported experience. Complications were reported in 5.38% of cases (average complication rate 6.06% per practitioner). Excluding preperitoneal insufflation or subcutaneous emphysema the complication rate was 1.18%. Complications requiring surgical repair occurred in 0.39% of cases, including bowel, bladder and great vessel injury. The clearest predictor of complication rate was laparoscopic experience. The technique used to obtain pneumoperitoneum was also important in that Veress needle technique was associated with a 2.6% significant complication rate in contrast to 1.2% for open technique (p <0.006). Conclusions: Laparoscopy is widely practiced in the pediatric urological community with a good safety record. Complications occur and important means of minimizing them are to provide for supervised experience with emphasis on the details of safe technique.

KW - evaluation studies

KW - pediatrics

KW - peritoneoscopy

KW - physician's practice patterns

UR - http://www.scopus.com/inward/record.url?scp=0030053476&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030053476&partnerID=8YFLogxK

U2 - 10.1016/S0022-5347(01)66394-8

DO - 10.1016/S0022-5347(01)66394-8

M3 - Article

C2 - 8583567

AN - SCOPUS:0030053476

VL - 155

SP - 1070

EP - 1073

JO - Journal of Urology

JF - Journal of Urology

SN - 0022-5347

IS - 3

ER -