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Table 5 Details of severe complications

From: Laparoscopic versus open nephrectomy in resource-constrained developing world hospitals: a retrospective analysis

 

Open

Laparoscopic

Laparoscopic converted to open

Grade 3

11

IVC injury repaired intraoperatively—3

Repeat surgery

 Wound infection—3

 Pneumothorax requiring intercostal drainage—2

Relaparotomy for

 Delayed bleed—1

 Pancreatic injury—1

 Prolonged ileus—1

1

Wound infection: flank abscess requiring percutaneous drainage

1

IVC injury repaired intraoperatively

Grade 4

1

IVC Injury/MOD/TF ICU/demised

1

Urinoma requiring complete nephrectomy, Bowel perf X 3 repaired, ECF development, intra-abd sepsis

1

IVC Injury—Repaired intraoperatively, AKI secondary to hypotension—Resolved (Cr 1090 ≥ 233), transfusion

Grade 5

5

Hypovolemia with Perioperative Myocardial infarction, Renal failure, (Multiorgan Failure). Patient demised in ICU

Iatrogenic Splenic injury which was packed, Sepsis, Cardiac arrest with suspected Myocardial Infarction, deemed not a candidate for ICU. Patient demised

Patient with end-stage renal failure and pneumonia, not a candidate for the chronic renal programme, sent to renal for ESRD and uncontrolled hypertension. Patient demised

Suspected perioperative Myocardial infarction exacerbated by hypovolemia, patient demised

Patient post-chemotherapy, with anaemia requiring transfusion. The patient subsequently demised of suspected myocardial infarction (Late)

1

Prolonged bleeding postop requiring exploratory laparotomy. Patient demised after massive transfusion

0