Final answer:
The risk of vascular injury during laparoscopy is considered low, usually occurring during entry with a Veress needle or primary trocar, and can result in complications such as mortality or necessitate conversion to laparotomy. Figures for injury percentage vary but are typically less than 0.3% for major vascular injuries.
Step-by-step explanation:
The complication percentage that represents the risk of vascular injury during laparoscopy is low, but specific figures can vary based on the surgical team's expertise, patient factors, and procedure complexity. Vascular injuries are most often associated with the time of entry, usually occurring with the insertion of the Veress needle or the primary trocar. These injuries can have serious complications such as:
- a) Mortality risk from vascular injury, which while low, is significant due to the potential for rapid blood loss and hemodynamic instability.
- b) Conversion to laparotomy for vascular injury when the injury cannot be managed laparoscopically and open surgery is required for repair.
- c) Vascular injuries that occur at time of entry are indeed notable, as they represent the majority of serious complications during laparoscopy.
- d) The actual injury percentage varies, with some studies citing figures ranging from less than 0.1% to 0.3% for major vascular injuries.