“Minimal Access Surgery” began in animal laboratories and was later studied in selected academic centers where it was imported to community hospitalsonly when its benefits and safety were established. Objectives: To conduct a detailed review of Complications of laparoscopic surgery with emphasis on those related to entry into the abdominal cavityand bile duct surgery given their high frequency and lethality. Subject and methods: A detailed search ofliterature publishedin Spanish and English was carried out through PubMed/MEDLINE, Cochrane's registry of systematic reviewsand randomized controlled studies, using key words such as “laparoscopic entry”, “trocars injury”, “laparoscopy”. complications”, “laparoscopic injury” and “opticaltrocars”. Meta-analyses, randomized clinical studies, clinicalguidelines, review articles and case series were mainly selected.Conclusions: Laparoscopy is a relatively safe procedure, however, great care must be taken during access to the abdominal cavity because the majority of complications occur during entry.
Pedro Rolando López Rodríguez (Sat,) studied this question.
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