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

Gupta, Ajay; Habib, Khalid; Harikrishnan, Athur; Khetan, Niraj

doi:10.1007/s12262-014-1081-y

Cited by 6 publications

(5 citation statements)

References 74 publications

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“…Laparoscopic surgery can achieve long-term effect similar with that of laparotomy. It has advantages of minimally invasive, low occurrence rate of complications, quick recovery in a short period, and high clinical approval [9]. At present, few researches focus on the treatment of rectal carcinoma in the progressive stage by combining the new adjuvant radiochemotherapy as well as laparotomy and laparoscopic surgery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of short-term therapeutic effects between laparoscopic surgery and laparotomy combined with new adjuvant radiochemotherapy in progressive stage-rectal carcinoma

Yao¹,

Ye²,

Fan³

et al. 2018

biomedicalresearch

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Objective: This study aimed to discuss the short-term therapeutic effects of laparoscopic surgery and laparotomy with new adjuvant radiochemotherapy on rectal carcinoma in the progressive stage. Methods: A total of 120 patients with rectal carcinoma in our hospital from May 2014 to February 2016 were selected and categorized into the control group (n=60) and treatment group (n=60) by random number table method. All respondents were simultaneously treated by new adjuvant radiochemotherapy. The control group was treated by laparotomy, whereas the treatment group received laparoscopic surgery. Operation mode, intraoperative conditions, post-operative rehabilitation effect, and occurrence rate of complications in the near future were compared between the two groups. Results: No significant difference of operation mode (e.g., Dixon operation, Miles operation, and Hartmann operation) was observed between the treatment group and control group (P>0.05). The operation time of the control group was shorter than that of the treatment group, but the intraoperative blood loss of the treatment group was far higher (P<0.05). No significant differences were found between the two groups in terms of cases of intraoperative blood transfusion, remote cutting marginal distance of Dixon operation, number of assessable lymph glands, number of lymphoma transfer, and cases of terminal ileum fistulization of Dixon operation (P>0.05). The time of exhaustion, time of defecation, and time of feeding after operation and Length of Stay (LOS) of the treatment group were shorter than that of the control group (P<0.05). The control group and treatment group presented no statistically significant difference in view of the occurrence rate of post-operative complications (P<0.05). Conclusions: Laparoscopic surgery combined with new adjuvant radiochemotherapy has outstanding therapeutic effect on rectal carcinoma in the progressive stage and high safety. It can be promoted as the first clinical therapy for rectal carcinoma in the progressive stage.

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Section: Discussionmentioning

confidence: 99%

Comparison of short-term therapeutic effects between laparoscopic surgery and laparotomy combined with new adjuvant radiochemotherapy in progressive stage-rectal carcinoma

Yao¹,

Ye²,

Fan³

et al. 2018

biomedicalresearch

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“…For the exploration of an acute abdomen, laparoscopy has been shown to be an important tool [10] . However, the surgeon has to decide in the acute situation whether laparoscopy is the proper method for the particular patient and for himself.…”

Section: Surgical Closure or Exclusion Of The Perforationmentioning

confidence: 99%

The research progress of acute small bowel perforation

Schiessel

2015

Journal of Acute Disease

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A B S T R A C TThis article reviews the various aetiologies of small bowel perforations and their management. In addition to the well-known aetiologies such as trauma, inflammation and circulatory disorders, several new causes of small bowel perforation have been described in recent years. The spectrum reaches from iatrogenic perforations during laparoscopic surgery or enteroscopies to drug-induced perforations with new anticancer agents. The management of small bowel perforations requires a concept consisting of the safe revision of the leaking bowel and the treatment of the peritonitis. Depending on the local situation and the condition of the patient, several treatment options are available. The surgical management of the bowel leak can range from a simple primary closure to a delayed restoration of bowel continuity. When the condition of the bowel or patient is frail, the risk of a failure of a closure or anastomosis is too high, and the exteriorization of the bowel defect as a primary measure is a safe option. The treatment of the peritonitis is also dependent on the condition of the patient and the local situation. Early stages of peritonitis can be treated by a simple peritoneal lavage, either performed by laparoscopy or laparotomy. Severe forms of peritonitis with multi-organ failure and an abdominal compartment syndrome need repeated peritoneal revisions. In such cases, the abdomen can only be closed temporarily. Different technical options are available in order to overcome the difficult care of these patients.

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“…Thus, becoming the gold standard for many abdominal emergency Diseases. However, its place in the management of acute non-traumatic abdominal emergencies remains imprecise, and requires more evidence [1,[3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and safety of laparoscopy in acute non-traumatic emergency abdominal surgery: A prospective study

Ammari Smail,

Nait Slimane N,

A. Tibiche

et al. 2024

World J. Adv. Res. Rev.

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Introduction: The use of laparoscopy in emergency abdominal surgery is considered high-risk due to its elevated morbidity, requiring expertise in laparoscopic surgery. Objective: Assessing the feasibility, reproducibility, and safety of laparoscopy in non-traumatic acute abdominal surgery. Methods: Descriptive, prospective and evaluative study, conducted between February 2018 and October 2021. We have included in this study: acute appendicitis and its complications, lithiasis acute cholecystitis (LAC), peritonitis by perforation of peptic ulcer, adhesive acute intestinal obstruction, adnexal torsion, extra-uterine pregnancies, and non-specific acute abdominal pain. Results: We operated on 337 patients laparoscopically, with an average of 02 surgeries per medical shift. In 62.6%, surgeries were performed outside of regular working hours. We encountered temporary, material, and human difficulties in 10.8% of the cases. Average age of the patients is 38 years ±15 years. F/H sex ratio =1.29. Diagnostic accuracy of laparoscopy was 100 %. Intraoperative laparoscopic scanning corrected the preoperative diagnosis in 15.73% of cases. Average operative time was 52.09 min ± 24.14 min. One conversion recorded (0.3%). Rate of postoperative complications was 6.2%. These complications are classified at grade I according to the Clavien-Dindo classification in 85.71%. Only one patient (0.3%) required a second operation. Average length of overall hospitalization was 1.5 days. Conclusion: Our results suggest that emergency laparoscopy is feasible, safe, and reproducible. So it can claim to replace laparotomy in the management of acute, non-traumatic abdominal emergencies.

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

Cited by 6 publications

References 74 publications

Comparison of short-term therapeutic effects between laparoscopic surgery and laparotomy combined with new adjuvant radiochemotherapy in progressive stage-rectal carcinoma

Comparison of short-term therapeutic effects between laparoscopic surgery and laparotomy combined with new adjuvant radiochemotherapy in progressive stage-rectal carcinoma

The research progress of acute small bowel perforation

Feasibility and safety of laparoscopy in acute non-traumatic emergency abdominal surgery: A prospective study

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