Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

Agresta, Ferdinando; Ansaloni, Luca; Baiocchi, Gian Luca; Bergamini, Carlo; Campanile, Fabio Cesare; Carlucci, Michele; Cocorullo, Gianfranco; Corradi, Alessio; Franzato, Boris; Lupo, Massimo; Mandalà, Vincenzo; Mirabella, Antonino; Pernazza, Graziano; Piccoli, Micaela; Staudacher, C.; Vettoretto, Nereo; Zago, Mauro; Lettieri, Emanuele; Levati, A.; Pietrini, Domenico; Scaglione, Mariano; Masi, Salvatore; Placido, Giuseppe De; Francucci, Marsilio; Rasi, Monica; Fingerhut, Abe; Uranüs, S.; Garattini, Silvio

doi:10.1007/s00464-012-2331-3

Cited by 193 publications

(115 citation statements)

References 376 publications

(338 reference statements)

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“…In 2012, grade A recommendation was made in EAES consensus statement [8] suggesting the use of diagnostic laparoscopy in suspected appendicitis and to proceed with laparoscopic appendicectomy once the diagnosis was confirmed. In cases of complicated appendicitis, the laparoscopic approach may be preferred over open approach [7].…”

Section: Appendicitismentioning

confidence: 99%

“…Hussain et al, in their prospective study, suggested that it may be a contributory factor in abdominal contamination [12]. However, it has been suggested that laparoscopy is better for lavage due to better visualization [13], and the EAES consensus statement of 2012 favours it [8].…”

Section: Appendicitismentioning

confidence: 99%

“…Cases favouring the removal of normal appendix would include those with high clinical suspicion, radiology revealing a faecolith or faecal impaction in the appendix and surgical units where the rate of abscesses is minimal [8]. The presence of 'endoappendicitis' (normal looking serosa but inflammation of inner layers on histology) also justifies this approach [19].…”

Section: Appendicitismentioning

confidence: 99%

“…Three-port appendicectomy is still the gold standard surgical technique [8], although position of the ports may vary depending upon the surgeon's choice and cosmesis (two suprapubic ports). Single-port appendicectomy requires more prospective evidence to be widely accepted.…”

Section: Appendicitismentioning

confidence: 99%

“…It remains to be seen whether this effort to reduce operating time is associated with increased risk of complications, i.e. suture line leakage [8]. It is best to judge the repair method by the properties of ulcer edge and size [26].…”

Section: Perforated Peptic Ulcermentioning

confidence: 99%

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Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

et al. 2014

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Laparoscopy has already established itself as the preferred surgical approach in a variety of elective surgical conditions. Along with its usual advantages of less tissue trauma and faster recovery, its diagnostic as well as therapeutic role is making it an attractive option in emergency surgery. In this paper, we have reviewed the current status of laparoscopic surgery in luminal gastrointestinal emergencies. Relevant papers were selected using Medline database from 2007 to the present. These were reviewed, and outcomes were stated under the headings of appendicitis, perforated peptic ulcer, colorectal emergencies and small bowel obstruction. The laparoscopic intervention was found to be of clear benefit in most of the patients with appendicitis. Its role, however, is not absolutely clear in managing perforated peptic ulcers. Laparoscopic lavage and drainage have been recommended in diverticular perforation with limited contamination. Small case series and studies have shown benefits of laparoscopic surgery in iatrogenic colonic perforations, colonic obstruction, emergency colectomy and small bowel obstruction. Laparoscopic surgery can be recommended in appendicitis and lowrisk cases of perforated peptic ulcers. Its definitive role in other conditions needs more evidence. The surgeon's experience and careful patient selection are very important to improve the outcome.

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Section: Appendicitismentioning

confidence: 99%

Section: Appendicitismentioning

confidence: 99%

Section: Appendicitismentioning

confidence: 99%

Section: Appendicitismentioning

confidence: 99%

Section: Perforated Peptic Ulcermentioning

confidence: 99%

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Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

et al. 2014

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Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis

Daniels

Ünlü

Korte

et al. 2017

Journal of British Surgery

273

227

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Laparoscopic versus open colorectal surgery in the acute setting (LaCeS trial): a multicentre randomized feasibility trial

Harji

Marshall

Gordon

et al. 2020

British Journal of Surgery

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Background: Approximately 30 000 people undergo major emergency abdominal gastrointestinal surgery annually, and 36 per cent of these procedures (around 10 800) are carried out for emergency colorectal pathology. Some 14 per cent of all patients requiring emergency surgery have a laparoscopic procedure. The aims of the LaCeS (laparoscopic versus open colorectal surgery in the acute setting) feasibility trial were to assess the feasibility, safety and acceptability of performing a large-scale definitive phase III RCT, with a comparison of emergency laparoscopic versus open surgery for acute colorectal pathology. Methods: LaCeS was designed as a prospective, multicentre, single-blind, parallel-group, pragmatic feasibility RCT with an integrated qualitative study. Randomization was undertaken centrally, with patients randomized on a 1 : 1 basis between laparoscopic or open surgery. Results: A total of 64 patients were recruited across five centres. The overall mean steady-state recruitment rate was 1⋅2 patients per month per site. Baseline compliance for clinical and health-related quality-of-life data was 99⋅8 and 93⋅8 per cent respectively. The conversion rate from laparoscopic to open surgery was 39 (95 per cent c.i. 23 to 58) per cent. The 30-day postoperative complication rate was 27 (13 to 46) per cent in the laparoscopic arm and 42 (25 to 61) per cent in the open arm. Conclusion: Laparoscopic emergency colorectal surgery may have an acceptable safety profile. Registration number: ISRCTN15681041 (http://www.controlled-trials.com).

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Cited by 193 publications

References 376 publications

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

Randomized clinical trial of observational versus antibiotic treatment for a first episode of CT-proven uncomplicated acute diverticulitis

Laparoscopic versus open colorectal surgery in the acute setting (LaCeS trial): a multicentre randomized feasibility trial

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