Abstract

ESLAVA, Javier; GAITAN, Hernando  and  PEDRAZA, Nelson. Pulmonary edema in laparoscopic surgery: Case report and systematic review of the literature. Rev Colomb Obstet Ginecol [online]. 2005, vol.56, n.4, pp.294-302. ISSN 0034-7434.

Laparoscopic surgery is a technique that has been popularized in an exponential manner and to which has been recognized many benefits too. However, it has been related with several and potentially serious complications. Objective: to describe the frequency of pulmonary edema in laparoscopic surgery and in laparoscopic cholecystectomy in published studies. Methodology: descriptive study of evidence (systematic review), using the Medline, OVID and CINAHL databases. Two independent reviewers evaluated the relevance of papers from their abstracts and after, the level of evidence and frequency of the event on the paper in full text. The median of frequency (%) in published papers is showed. Results: 58 articles (39 from Medline and 19 from OVID) were found, from these, three papers had been found previously in CINAHL. Two were analytic observational studies, 13 descriptive observational studies (not case series or case reports) and 25 were case series and case reports. 6 papers were not available in full text and 12 were non-systematic reviews. The frequency of pulmonary edema was found to be between 0% and 16.6% in published papers, Median= 1.4% (CI95% 0.19% -2.3%). There was not a clear evidence of causation of pulmonary edema in the evaluated articles, and it was related with the nearest precedent event. Conclusions: level of evidence of the articles was between III and IV. Post-marketing surveys are required (Phase IV studies) for this kind of technology. Whilst, pulmonary edema should be considered as a potential complication of laparoscopic surgery.

Keywords : pulmonary edema; review; systematic; cholecystectomy; laparoscopic.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )