Use of minimally invasive surgery in emergency general surgery procedures

Arnold, Michael R.; Elhage, Sharbel A.; Schiffern, Lynnette; Paton, B. Lauren; Ross, Samuel W.; Matthews, Brent D.; Reinke, Caroline E.

doi:10.1007/s00464-019-07016-1

Cited by 34 publications

(26 citation statements)

References 28 publications

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“…The use of laparoscopic surgery in the most common acute abdominal pathologies such as acute appendicitis, acute cholecystitis, ileus, and peptic ulcer perforation has increased significantly in the last decade. [5] In the present study, it was found that laparoscopic surgery was preferred in most of the appendectomy, cholecystectomy, and fecal diversion operations in our secondary hospital. In the first consensus meeting held by the European Endoscopic Surgery Association in 2006, laparoscopic surgery was accepted as the standard treatment in cases of acute appendicitis and acute cholecystitis.…”

Section: Discussionmentioning

confidence: 57%

“…[8] The second most common reason for admitting to emergency departments after acute appendicitis is acute cholecystitis. [5] The generally accepted approach was to perform early laparoscopic cholecystectomy within three days from the onset of symptoms in patients who are not at high risk for surgery. [9] Since our hospital serves the rural population, patients usually admit to the emergency room at an advanced stage of cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopy in Non-Traumatic Emergency General Surgery Operations

Kırmızı¹

2020

Laparosc Endosc Surg Sci

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Introduction: Laparoscopic surgery is currently a standard treatment procedure for many elective surgery cases. Laparoscopic surgery has been increasingly preferred in emergency general surgery operations. This study aims to investigate the importance of emergency laparoscopic surgery in a secondary hospital. Materials and Methods:The study was conducted retrospectively at Yozgat City Hospital General Surgery Service between January 2018 and March 2020. Patients who underwent non-traumatic emergency surgery were included in the study. The cases who underwent laparoscopic surgery were determined.Results: Of the 768 patients who underwent emergency surgery, 732 were non-traumatic cases. It was found that laparoscopic surgery was performed in 62.8% of appendectomy cases, 75% of cholecystectomies, 66.6% of diverting stoma operations, 8.3% of brid ileus cases, 11.1% of incarcerated/strangulated hernias and 11.1% of peptic ulcer perforations. Conclusion:Laparoscopic surgery is more preferred in appendectomy, cholecystectomy, and diverting stoma operations. In order for other patient groups to benefit from the advantages of minimally invasive surgery, in the emergency laparoscopic surgical experience of surgeons should be increased during their residency.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Laparoscopy in Non-Traumatic Emergency General Surgery Operations

Kırmızı¹

2020

Laparosc Endosc Surg Sci

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“…Bei gedeckt perforierter Appendizitis mit Makroabszess ist prinzipiell die Versorgung mit einer Drainage und zweizeitiger Operation möglich. Insbesondere bei länger bestehender Klinik und ausgeprägter Abszessformation ist die primäre Appendektomie mit einem höheren Risiko für postoperative Komplikationen assoziiert [16].…”

Section: Perforierte Appendizitisunclassified

Perforationen des unteren Gastrointestinaltraktes

Fichtner‐Feigl¹,

Menzel²

2021

Allgemein- und Viszeralchirurgie up2date

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“…Laparoscopy for placement of the peritoneal catheter was first described in the early 1990s [ 5 ]. Known benefits of laparoscopy include decreased post-operative pain and lower rates of surgical site infection [ 6 - 8 ] and have essentially made laparoscopy the standard of care for many abdominal operations [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Co-surgeon Ventriculoperitoneal Shunt Placement Versus Single Surgeon Mini Laparotomy

Mulvaney¹,

Arnold²,

Reinke³

et al. 2022

Cureus

Self Cite

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Introduction: Ventriculoperitoneal (VP) shunt placement is one of the most common treatments for pediatric hydrocephalus. However, device failures often occur, requiring operative revision of either the intraventricular or intraperitoneal shunt catheters. Historically, shunt placement was performed via laparotomy, but there has been a trend towards laparoscopic-assisted placement of the intraperitoneal portion of the shunt. We examined the outcomes of laparoscopic-assisted versus open VP shunt placement utilizing a local institutional retrospective review. Methods: Single institution 2012-2017 retrospective review of all cases was performed. Patients were divided into two groups - laparoscopic and open. Thirty-day outcomes, patient age, surgery performed, surgical control time (SCT), length of stay (LOS), and readmission were analyzed. Results: Cohort analysis inclusion criteria included 188 patients. The cohort analysis showed both decreased laparoscopic-assisted SCT (56.4 vs 32.1 min, p<0.0001) and postop complications (16.7% vs 7.1%, p<0.07). There was no significant difference in surgical site infection or readmission rates. Conclusion: Local analysis show advantages for laparoscopic-assisted VP shunt placement over open single surgeon techniques with decreased SCT, LOS, and unplanned interventions.

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Use of minimally invasive surgery in emergency general surgery procedures

Cited by 34 publications

References 28 publications

Laparoscopy in Non-Traumatic Emergency General Surgery Operations

Laparoscopy in Non-Traumatic Emergency General Surgery Operations

Perforationen des unteren Gastrointestinaltraktes

Laparoscopic Co-surgeon Ventriculoperitoneal Shunt Placement Versus Single Surgeon Mini Laparotomy

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