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

المقال يركز على دراسة رصدية مستقبلية تبحث في المضاعفات المتعلقة بالفتحات في الجراحة بالمنظار ضمن السكان الإيرانيين. أجريت الدراسة في مركز الإمام حسين الطبي في طهران من عام 2021 إلى 2024، وشملت 346 مريضًا ووجدت معدل مضاعفات منخفض يبلغ 3.2%، يتكون بشكل أساسي من التهابات سطحية في مواقع الفتحات (2.9%) وحالة واحدة من الفتق الجراحي (0.3%). تشير النتائج إلى أن الإجراءات الجراحية بالمنظار آمنة في البيئات المجهزة جيدًا، مما يتماشى مع المعايير العالمية لمعدلات المضاعفات. تسلط الدراسة الضوء على أهمية تقنيات الجراحة الصحيحة والرعاية بعد الجراحة لتقليل المخاطر المرتبطة بالجراحة بالمنظار. [Extracted from the article]

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. [ABSTRACT FROM AUTHOR]

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