Port-Related Complications in Laparoscopic Surgeries: A Prospective Observational Study of the Iranian Population

Document Type : Brief Report

Authors

Department of General Surgery, Imam Hossein medical and educational center, Shahid Beheshti University of medical sciences, Tehran, IRAN

10.30476/acrr.2025.105714.1239

Abstract

Background: Despite contradictory reports regarding complication rates associated with various laparoscopic
techniques, data specific to the Iranian population remain limited. In this study, we prospectively investigated
port-related complications in laparoscopic abdominal surgeries performed on individuals from the Iranian
population.
Methods: This study was conducted as a prospective cohort at Imam Hossein Medical Center, Tehran, Iran,
from 2021 to 2024. A total of 346 patients who were candidates for abdominal surgery using the laparoscopic
technique and referred to the tertiary hospital were included in the study based on the inclusion criteria.
Demographic information about the patients, including age, gender, and underlying conditions, as well as data
related to the surgery and complications associated with the port, were examined and recorded by the surgeons
for six months following the surgery.
Results: In this study, 346 patients were examined. The mean age of the patients was 44.34±11.80 years, with
ages ranging from 16 to 77 years. Among the patients, 206 (59.5%) were women, and 140 (40.5%) were men. Of
the 346 patients who underwent surgery, 129 (37.3%) had a cholecystectomy, 117 (33.8%) underwent bariatric
surgery, and 71 (20.5%) had herniorrhaphy. Port-related complications were observed in 11 patients (3.2%),
with port site infections diagnosed in 10 patients (2.9%). An incisional hernia was diagnosed in one patient
(0.3%). There were no port site bleeding, omental injury, or other possible port-related complications.
Conclusion: In this study, port-related complications among the Iranian population have been reported
for comparison with other populations. The low complication rate of 3.2% aligns with global standards,
underscoring the safety of laparoscopic procedures in well-equipped settings.

Keywords

References

  1. Lirici MM, Califano AD, Angelini P,
    Corcione F. Laparo-endoscopic single
    site cholecystectomy versus standard
    laparoscopic cholecystectomy:
    results of a pilot randomized trial.
    The American Journal of Surgery.
    2011;202(1):45-52.
    2. Basunbul LI, Alhazmi LSS,
    Almughamisi SA, Aljuaid NM,
    Rizk H, Moshref R. Recent Technical
    Developments in the Field of
    Laparoscopic Surgery: A Literature
    Review. Cureus. 2022;14(2):e22246.
    3. Buia A, Stockhausen F, Hanisch E.
    Laparoscopic surgery: A qualified
    systematic review. World J Methodol.
    2015;5(4):238-54.
    4. Hoyuela C, Juvany M, Carvajal F.
    Single-incision laparoscopy versus
    standard laparoscopy for colorectal
    surgery: a systematic review and
    meta-analysis. The American Journal
    of Surgery. 2017;214(1):127-40.
    5. Fung AK-Y, Aly EH. Robotic colonic
    surgery: is it advisable to commence
    a new learning curve? Diseases of the
    colon & rectum. 2013;56(6):786-96.
    6. Maerz DA, Beck LN, Sim AJ,
    Gainsburg DM. Complications of
    robotic-assisted laparoscopic surgery
    distant from the surgical site. Br J
    Anaesth. 2017;118(4):492-503.
    7. Bongard F, Dubecz S, Klein S.
    Complications of therapeutic
    laparoscopy. Current problems in
    surgery. 1994;31(11):868-924.
    8. Vilos GA. Laparoscopic bowel
    injuries: forty litigated gynaecological
    cases in Canada. Journal of
    Obstetrics and Gynaecology Canada.
    2002;24(3):224-30.
    9. Vilos GA. Litigation of laparoscopic
    major vessel injuries in Canada. The
    Journal of the American Association
    of Gynecologic Laparoscopists.
    2000;7(4):503-9.
    10. Von Elm E, Altman DG, Egger
    M, Pocock SJ, Gotzsche PC,
    Vandenbroucke JP. The Strengthening
    the Reporting of Observational
    Studies in Epidemiology (STROBE)
    Statement: guidelines for reporting
    observational studies
    11. Noh JJ, Kim T-H, Kim C-J, Kim T-J.
    Incisional hernia after 2498 singleport
    access (SPA) gynecologic surgery
    over a 10-year period. Scientific
    reports. 2020;10(1):1-8.
    12. Barutcu AG, Klein D, Kilian M, Biebl
    M, Raakow R, Pratschke J, et al. Longterm
    follow-up after single-incision
    laparoscopic surgery. Surgical
    endoscopy. 2020;34(1):126-32.
    13. Hoyuela C, Juvany M, Guillaumes
    S, Ardid J, Trias M, Bachero I, et
    al. Long-term incisional hernia rate
    after single-incision laparoscopic
    cholecystectomy is significantly
    higher than that after standard threeport
    laparoscopy: a cohort study.
    Hernia. 2019;23(6):1205-13.
    14. Moazzez A, Mason RJ, Katkhouda N.
    Thirty-day outcomes of laparoscopic
    versus open appendectomy in elderly
    using ACS/NSQIP database. Surgical endoscopy. 2013;27:1061-71.
    15. Mishra A, Keeler B, Maxwell‐
    Armstrong C, Simpson J, Acheson
    A. The influence of laparoscopy on
    incisional hernia rates: a retrospective
    analysis of 1057 colorectal cancer
    resections. Colorectal Disease.
    2014;16(10):815-21.
    16. Watanabe J, Ishibe A, Suwa Y, Suwa
    H, Ota M, Kubota K, et al. Hernia
    incidence following a randomized
    clinical trial of single-incision
    versus multi-port laparoscopic
    colectomy. Surgical Endoscopy.
    2021;35(6):2465-72.
    17. Mudgal MM, Kothiya PK, Kushwah
    N, Singh R. Port site complications
    following laparoscopic surgeries:
    a prospective study. International
    Surgery Journal. 2018;5(2):598-601.
    18. Singh AA, Kumar P, Mahendru V,
    Ali M, Rai S, Afroz A, et al. A Study
    Of Post Laparoscopic Port Related
    Complications. Journal Of Evolution
    Of Medical And Dental Sciences-
    Jemds. 2018;7(8):978-83.
    19. Verma S, kesh Yadav H, Goel
    VK, Kala S. Laparoscopic port
    site complications: a multicentre
    prospective descriptive study from
    North India. World journal of Minimal
    Access Surgery. 2018;6(1).
    20. Gad KH, Elhefny AMM, Gerges WB,
    Sebaie MSA. Assessment of Port
    Site Complication in Laparoscopic
    Abdominal Surgery. QJM: An
    International Journal of Medicine.
    2020;113(Supplement_1):hcaa050.19.
    21. Karthik S, Augustine AJ, Shibumon
    MM, Pai MV. Analysis of laparoscopic
    port site complications: A descriptive
    study. Journal of minimal access
    surgery. 2013;9(2):59.
    22. Colizza S, Rossi S, Picardi B,
    Carnuccio P, Pollicita S, Rodio F, et al.
    Surgical infections after laparoscopic
    cholecystectomy: ceftriaxone vs
    ceftazidime antibiotic prophylaxis. A
    prospective study. Chirurgia italiana.
    2004;56(3):397-402.
    23. Dugg P, Shivhare P, Singh H, Mittal S,
    Kumar A, Munghate A. A prospective
    analysis of port site complications in
    laparoscopic cholecystectomy. Annals
    of Bariatric Surgery. 2014;3(2):100-10.
    24. Kabir SF, Haque MA. Incidence
    of trocar (port) site hernias after
    laparoscopic cholecystectomy-study
    of 100 cases. Bangladesh Journal of
    Anatomy. 2011;9(2):110-2.
    25. Panigrahi S, Behera C, Pujari P,
    Mishra A, Kanungo A. Analysis of
    port site complications in laparoscopic
    surgeries in a tertiary care centre.
    International Journal of Scientific
    Research. 2018;7(1):241-43.
Iranian Journal of Colorectal Research
Volume 12, Issue 4
December 2024

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