Laparoscopy in routine and emergency surgery

Cortesi, N; Zambarda, E; Manenti, Antonio; Gibertini, G; Gotuzzo, L; Malagoli, M

doi:10.1016/0002-9610(79)90039-4

Cited by 17 publications

(3 citation statements)

References 6 publications

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“…This procedure may be particularly useful in assessing the condition of the patients who have sustained abdominal injuries. Our experience with blunt abdominal trauma has been limited, but larger series reported by Carnevale et al, 1 Gazzaniga et al, 2 and Cortesi et al 4 have also shown that when properly applied, peritoneoscopy is effective in reducing the negative laparotomy rate and may reveal visceral injuries that were unsuspected clinically. Negative laparotomy rates range from 7% to 15% for all types of abdominal injuries.…”

Section: Discussionmentioning

confidence: 99%

The role of peritoneoscopy in the diagnosis of acute abdominal conditions

Diehl¹,

Eisenstat²,

Gillinov³

et al. 1981

Cleveland Clinic Journal of Medicine

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Section: Discussionmentioning

confidence: 99%

The role of peritoneoscopy in the diagnosis of acute abdominal conditions

Diehl¹,

Eisenstat²,

Gillinov³

et al. 1981

Cleveland Clinic Journal of Medicine

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“…We set out [4] to evaluate the hypothesis proposed by others [5][6][7][8][9] that there is a case for laparoscopy in some patients presenting with acute abdominal pain so as to (a) reduce the negative laparotomy rate and (b) to avoid "bad errors" defined as delay in laparotomy when this is required [10]. We {ook as our starting point that it would be neither ethical nor logistically possible to laparoscope all patients with acute abdominal pain; we further accepted that, in the light of Previous work, it would be inappropriate to adopt the null hypothesis--namely, that laparoscopy is without benefit.…”

Section: Underlying Logicmentioning

confidence: 99%

Prospective scenarios: A method of evaluating new decision tools

Brown

et al. 1989

World j. surg.

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Prospective randomized controlled trials are rarely suitable for the evaluation of new decision making techniques. An approach is described in which a cohort of patients is taken down the usual study pathway to the point at which the new technique would be used. Conventional decision rules are then applied and the results recorded. The new technique is then deployed and the cohort reclassified. The logical and statistical justification for this approach is outlined. More rapid (although possibly less pure) analysis of the effect of the new technique is achieved.

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“…A laparoscopia tem se mostrado método diagnóstico e, às vezes,terapêutico, indicado nestes casos. 1,2 Vários autores tem demonstrado uma elevada acurácia diagnóstica ( 86 a 100 %) em pacientes submetidos à laparoscopia 3,4 .…”

Section: Introductionunclassified

Laparoscopia no abdome agudo inflamatório de difícil diagnóstico

Valezi

Mali

Oliveira

et al. 2003

Rev. Col. Bras. Cir.

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OBJETIVOS: O objetivo deste estudo foi analisar a eficácia do método laparoscópico em casos de abdome agudo inflamatório de difícil avaliação, quanto à acurácia, sensibilidade, especificidade e valores preditivos positivo e negativo. MÉTODO: Foram examinados, prospectivamente, 29 doentes com suspeita clínica de abdome agudo inflamatório, que após exames clínico e complementares não esclarecedores, foram submetidos à laparoscopia diagnóstica e/ou terapêutica. RESULTADOS: A precisão diagnóstica do exame foi de 96,5%. Com relação à terapêutica, 58,6 % dos doentes foram tratados por laparoscopia, 34,4% clinicamente e 6,8 % por laparotomia. A taxa de complicação foi de 10,3%, com ausência de mortalidade nesta série. Os doentes submetidos ao tratamento laparoscópico, tiveram alta hospitalar em média 36 horas após o procedimento. CONCLUSÕES: A laparoscopia mostrou-se um método de elevada acurácia diagnóstica, que permitiu manejo terapêutico satisfatório, associado à baixa morbidez e à recuperação pós-operatória precoce.

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Laparoscopy in routine and emergency surgery

Cited by 17 publications

References 6 publications

The role of peritoneoscopy in the diagnosis of acute abdominal conditions

The role of peritoneoscopy in the diagnosis of acute abdominal conditions

Prospective scenarios: A method of evaluating new decision tools

Laparoscopia no abdome agudo inflamatório de difícil diagnóstico

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