Table 2: comprehensive complication index of transvaginal cholecystectomy
CCI
range SD
grade I
mean
27
0 - 26 11 DGE/ileus
6
author
year
procedure
N
age BMI
Palanivelu9
2009
TVC
6
35
Salinas
10
2009
TVC
12
6
46
0 - 34
13
Linke11
2010
TVC
102
52
27
3
0 - 42
7
Federlein12
2010
TVC
115
52
28
1
0 - 34
5
Wood13
2013
TVC, TV
VHR,
TVA
102
37
29
2
0 - 34
6
Bulian14
2013
TVC
20
45
28
3
0 - 26
8
4*
0 - 34
7
7** 0 - 34
6
3*
0 - 28
6
8**
0 - 26
6
scenario
I
scenario
II
scenario
I
scenario
II
TVC
41
54
29
2014
CLC
51
54
30
grade II
grade IIIa
grade IVa
p
biliary leak
intraoperative
colon injury, bile
leak(relaparoscopy)
wound infection
allergic exanthema,
transient paresthesia,
transient urinary
retention, bacterial
vaginosis, vulvitis,
dehiscence of
colpotomy closure
vaginal bleeding,
umbilical granuloma,
intraoperative serosal
injury rectum
transient brachial
plexus injury, IUD
displacement, urinary
retention, vaginal
granulation
grade IIIb
pleural
effusion,
UTI
gastric ulcer
transumbilical
access hernia
UTI
intraoperative
bladder
laceration,
biliary leak
bleeding
gallbladder fossa
stroke
omental
intraabdominal
bleeding, rectal
abscess
injury
biliary
pancreatitis,
biliary leak
vaginodynia, UTI,
allergic reaction to
dressing
laparotomy for
pelvic abscess
five weeks after
discharge
vaginitis, hematoma,
upper respiratory
infection, wound
infection, suture
granuloma, allergic
reaction
intraoperative
small bowel
laceration,
symptomatic
trocar hernia
after 12 month,
deep wound
infection
biliary stones
laparotomy
for clip lost
from cystic
artery
stump
p < 0.000#
p < 0.000#
Legend: year year of publication, procedure Palanivelu et al. and Salinas et al. used a flexible endoscope for transvaginal cholecystectomy (TVC), TV VHR transvaginal ventral hernia repair, TVA transvaginal appendectomy,
CLC conventional three/four trocar cholecystectomy, N number of cases reported, BMI body mass index, CCI comprehensive complication index, SD standard deviation, DGE delayed gastric emptying, IUD intrauterine
device, UTI urinary tract infection, grade I – IVa according to classification of surgical complications3, p level of significance Wilcoxon rank sum test, scenario I and II explained in text. *p < 0.90, **p < 0.46; #p scenario I
vs. scenario II