Madhok B, Nanayakkara K, Mahawar K. Safety considerations in laparoscopic surgery: A narrative review. World J Gastrointest Endosc 2022; 14(1): 1-16 [PMID: 35116095 DOI: 10.4253/wjge.v14.i1.1]
Corresponding Author of This Article
Brij Madhok, FRCS, MBBS, MD, MS, Surgeon, Upper GI Surgery, University Hospitals of Derby and Burton NHS Foundation Trust, Uttoxeter Road, Derby DE22 3NE, United Kingdom. brijeshmadhok@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Jan 16, 2022; 14(1): 1-16 Published online Jan 16, 2022. doi: 10.4253/wjge.v14.i1.1
Safety considerations in laparoscopic surgery: A narrative review
Brij Madhok, Kushan Nanayakkara, Kamal Mahawar
Brij Madhok, Kushan Nanayakkara, Upper GI Surgery, University Hospitals of Derby and Burton NHS Foundation Trust, Derby DE22 3NE, United Kingdom
Kamal Mahawar, Department of General Surgery, South Tyneside and Sunderland NHS Foundation Trust, Sunderland SR4 7TP, United Kingdom
Author contributions: Madhok B wrote the initial draft and outline of the article, and reviewed, edited, and finalised the manuscript written by Nanayakkara K; Nanayakkara K reviewed the current literature, wrote the initial paper, and reference list; Mahawar K reviewed final version and rewrote parts of the article; all authors have approved the final version.
Conflict-of-interest statement: Brij Madhok–None; Kushan Nanayakkara–None; Kamal Mahawar–Mr. Mahawar has been paid honoraria and consultancy fees by Ethicon®, Medtronic®, Olympus®, Gore®, and various NHS Trusts for educational and mentoring activities.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Brij Madhok, FRCS, MBBS, MD, MS, Surgeon, Upper GI Surgery, University Hospitals of Derby and Burton NHS Foundation Trust, Uttoxeter Road, Derby DE22 3NE, United Kingdom. brijeshmadhok@gmail.com
Received: March 18, 2021 Peer-review started: March 18, 2021 First decision: July 17, 2021 Revised: August 11, 2021 Accepted: December 10, 2021 Article in press: December 10, 2021 Published online: January 16, 2022
Core Tip
Core Tip: Check for pregnancy in women of the childbearing age group. Make an alternative advanced plan with the patient regarding unexpected intra-abdominal circumstances. Consider adequate thromboprophylaxis and antibiotic prophylaxis. Intraoperatively, surgeons should ensure correct patient positioning and placement of stack and monitor(s). Establishing pneumoperitoneum safely, proper use of energy devices/staplers, use of lowest possible intra-abdominal pressure, avoidance of 10-15 millimetre ports for placement of drains; and a thorough “time out” at the end are some of the other important intraoperative considerations. The operating count by nurses should include specimens and retrieval bags. Important postoperative considerations include analgesia, early ambulation, and careful attention to early warning scores.
