The laparoscopic approach in emergency surgery: A review of the literature

Negoi, Ionuț; Beuran, Mircea; Ciubotaru, Cezar; Cruceru, Adelina; Hostiuc, Sorin; Sartelli, Massimo; Hernandez, Matthew C.; Vartic, Mihaela

doi:10.4103/2221-6189.228873

Cited by 10 publications

(7 citation statements)

References 7 publications

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“…In the period 1995-2009, one of us (AEN) published in "Chirurgia" 4 articles about the laparoscopic suture of perforated peptic ulcer, one about the technique, and 3 articles about the utility of laparoscopy in abdominal trauma, 2 of them case presentation: ileal perforation and diaphragmatic hernia after stub wounds(4). In the period 2009-2019, there were 7 articles published in the same journal (5, [13][14][15][16][17][18][19].In total there where 42 articles about emergency laparoscopic surgery published in "Chirurgia" journal in the period 1995-2019, out of which 16 (38.09%) were written by SCUB surgeons,11 by A.E.N (4,5).We also found other six articles published in other journals (Table 1) (19)(20)(21)(22)(23)(24). Under the guidance of professor M. Beuran, the surgeons of the SCUB Surgery Clinic also had a sustained teaching activity by organising courses on the subject of emergency laparoscopic surgery during the 2008 national surgery congresses and up to now.…”

Section: Fig1laparoscopic Cholangiographymentioning

confidence: 88%

The Emergency Hospital Bucharest to the Forefront of the Emergency Laparoscopic Surgery Development

Nicolau

2021

Surgery

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The use of laparoscopy in traumatic and non-traumatic abdominal surgical emergencies is unanimously accepted due to the well-known advantages of minimally invasive surgery. In the period 1961-1966 in the Clinical Emergency Hospital of Bucharest (CEHB) the first diagnostic laparoscopes were performed in the acute surgical abdomen, respectively in the obstructive jaundice by dr. Gh.Popovici, respectively dr.C.Petrescu.In the modern era, the first laparoscopic cholecystectomy was performed in 4 dec. 1993 by A.E.N.In 1994 the first laparoscopic appendectomies, gynecological emergencies, exploration in traumatic abdominal contusion, followed by perforated ulcer (1995), intestinal occlusion (1997), were performed. In the specialized literature, out of the 42 emergency laparoscopy articles published in the journal “Chirurgia” (1994-2019), 16 (38,08%) belonged to the CEHB team, 11 of AEN. In 2004 the original monograph "Laparoscopic Emergency Surgery" appeared. Specialized chapters are added in different volumes of surgical pathology. At the Romanian Assocation of Endoscopic Surgery Congress (RAES) of 2008, the international participation course “Laparoscopy in the acute abdomen” was organized. Since 2013, annual trauma workshops (DSTC ™) and non-traumatic abdominal emergencies have been organized with international participation by CEHB, the surgery clinic, and the UMFCarol Davila Department of Anatomy. CEHB surgeons presented papers at EAES,EATES and ESTES congresses. Of the 1699 laparoscopic operations performed in the clinic in 2018, accounting for 31.27% of the total operations, 493 (29.01%) were in emergency. The SCUB surgeons have had and have a major contribution in preparing the residents, implementing and developing emergency laparoscopy within the miniminvasive therapy, the therapy of the future.

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Section: Fig1laparoscopic Cholangiographymentioning

confidence: 88%

The Emergency Hospital Bucharest to the Forefront of the Emergency Laparoscopic Surgery Development

Nicolau

2021

Surgery

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“…Nowadays, laparoscopic techniques take the upper hand in surgical practice, not only in elective procedures but also in emergency situations. Acute cholecystitis, acute appendicitis, acute diverticulitis, perforated peptic ulcer, ectopic pregnancy, and ovarian torsion can be done with laparoscopy by the trained surgeon for better cosmesis, less pain, enhanced recovery, and less hospital stay [18]. Despite these advantages, post laparoscopic pain remains disturbing [1].…”

Section: Discussionmentioning

confidence: 99%

Ventilation strategies and postoperative pain in laparoscopic cholecystectomy: pulmonary recruitment maneuver versus extended hyperventilation: a prospective randomized study

2021

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Objectives: Acidic milieu created by carbon dioxide is associated with post laparoscopic surgical pain. Gas washing techniques were used to reduce such effects. This trial compared pulmonary recruitment maneuver (PRM) versus extended hyperventilation technique (EHV) regarding postoperative pain profile in laparoscopic cholecystectomy patients. Methods: In a prospective, randomized controlled study, 90 patients, underwent laparoscopic cholecystectomy were divided into two equal groups; (PRM group) and (EHV group). Collected data included heart rate (HR), mean arterial blood pressure (MAP), visual analog score (VAS), the incidence of shoulder and sub-diaphragmatic pain, postoperative nausea, and vomiting (PONV). Results: The overall incidence of shoulder and sub-diaphragmatic pain, late VAS score (at 12, 24 hours) were lower in the EHV group, while hemodynamics, early VAS scores, rescue analgesic consumption, and PONV were comparable in both groups. Conclusion: Gas washing techniques improved safety and efficacy in improving pain profile following laparoscopic surgery. EHV provides less pain and more patients comfort than PRM, especially at delayed times.

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“…For example, fascial rupture is almost three times more common after emergency surgery [ 18 ]. In many other entities demanding emergency surgery, the laparoscopic approach has proven to diminish both morbidity and mortality [ 19 ] and can therefore be assumed to do the same in colorectal surgery.…”

Section: Background and Rationalementioning

confidence: 99%

LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial

Grönroos-Korhonen,

Kössi

2024

Trials

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Background Due to faster recovery and lower morbidity rates, laparoscopy has become the gold standard in elective colorectal surgery for both the benign and malignant forms of the disease. A substantial proportion of colorectal operations are, however, carried out in emergency settings, and most of the emergency resections are still performed open. The aim of this study is to compare the laparoscopic versus open approach for emergency colorectal surgery. Method/design This is a multicenter prospective randomized controlled trial including adult patients presenting with a condition requiring emergency colorectal resection. Discussion Previous studies cautiously recommend wider use of laparoscopy in emergency colorectal resections, but all earlier reports are retrospective, are mostly single-center studies, and have limited numbers of patients. Laparoscopy may involve some unpredictable risks that have not yet been reported because of the infrequent use of the techniqueded to assess the safety of laparoscopy as well as the advantages and disadvantages of open compared with laparoscopic emergency surgery. Trial registration Trial registration number: ClinicalTrials.gov NCT05005117. Registered on August 12, 2021.

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The laparoscopic approach in emergency surgery: A review of the literature

Cited by 10 publications

References 7 publications

The Emergency Hospital Bucharest to the Forefront of the Emergency Laparoscopic Surgery Development

The Emergency Hospital Bucharest to the Forefront of the Emergency Laparoscopic Surgery Development

Ventilation strategies and postoperative pain in laparoscopic cholecystectomy: pulmonary recruitment maneuver versus extended hyperventilation: a prospective randomized study

LapEmerge trial: study protocol for a laparoscopic approach for emergency colon resection—a multicenter, open label, randomized controlled trial

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