Is Laparoscopy Safe and Effective in Nontraumatic Acute Abdomen?

Caruso, Carlo; Torre, Marco La; Benini, Bruno; Catani, Marco; Crafa, Francesco; Leo, A. De; Neri, Tiziano; Sacchi, Marco

doi:10.1089/lap.2011.0030

Cited by 11 publications

(13 citation statements)

References 24 publications

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“…For instance, only Hinchey stages III and IV still remain the most common indication for an emergency surgical intervention [29,30,31,32,33,34,35,36,37]; in our series, there were a few cases of Hinchey stage I operated on since these patients were submitted to surgery either for preoperatively overstaged disease or in the event of recurrent episodes.…”

Section: Discussionmentioning

confidence: 80%

Changes in the Surgical Approach to Colonic Emergencies during a 15-Year Period

Costa¹,

Torre²,

Frezza³

et al. 2014

Dig Surg

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Purpose: The present study aims to determine the morbidity and mortality of emergency colonic surgery and the factors associated with adverse outcome, and to evaluate any change in incidence of the different types of pathological conditions and in the surgical approach over the last 15 years. Materials and Methods: A total of 319 patients who underwent emergency colonic surgery between January 1997 and December 2011 were retrospectively analyzed. Patients were divided into two groups according to the date of surgery, namely group 1, between 1997 and 2006, and group 2, between 2006 and 2011. The differences in terms of postoperative outcomes between the groups were analyzed. Results: Overall postoperative morbidity and mortality rates were 25.3 and 17.2%, respectively; no differences were found between the groups. Group 2 showed a significantly increased rate of primary resection and anastomosis (p < 0.001), as well as an increase in laparoscopic approach compared with group 1 (p < 0.001). Conclusions: Emergency colon surgery is today primarily performed for benign diseases, of these the most common is diverticular disease followed by ischemic colitis. Age, comorbidities, and ischemic colon disease are predictors of adverse outcomes, while the surgical procedure per se is not.

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Section: Discussionmentioning

confidence: 80%

Changes in the Surgical Approach to Colonic Emergencies during a 15-Year Period

Costa¹,

Torre²,

Frezza³

et al. 2014

Dig Surg

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“…In Carlo Caruso's series, the diagnostic accuracy is 100%. Laparoscopy corrected the preoperative diagnosis in 5.6% of cases, avoiding unnecessary laparotomy [9]. Moreover, numerous studies have demonstrated the feasibility and safety of diagnostic laparoscopy under general anesthesia [6,10].…”

Section: Discussionmentioning

confidence: 99%

Diagnostic accuracy of laparoscopy in non-traumatic emergency abdominal surgery

Ammari Smail

2024

World J. Adv. Res. Rev.

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Introduction: Laparoscopy with high diagnostic accuracy allows for complete and direct visualization of the intraperitoneal viscera, significantly reducing therapeutic errors. The objective of our study was to evaluate the diagnostic accuracy of laparoscopy in the management of non-specific acute abdomen. Material and Methods: Descriptive and prospective, evaluative study conducted between February 2018 and October 2021, focusing on the role of emergency abdominal laparoscopy. Results: Specificity, sensitivity, positive predictive value, and negative predictive value of laparoscopy in our patients were 100%. Intraoperatively, laparoscopy corrected the preoperative diagnosis in 15.73% of cases. It prevented unnecessary laparotomies in 05 cases. Conclusion: Laparoscopy has a very high diagnostic accuracy. It can be safely used in emergency abdominal surgery, as a substitute for laparotomy.

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“…Respecto al abordaje quirúrgico inicial de un paciente con abdomen agudo no traumático, algunas series de casos apoyan el uso de la laparoscopia sobre la cirugía abierta, argumentando una tasa de éxito del 90 % y un diagnóstico certero en todos los casos 20 . Así mismo, se reporta un margen apropiado de seguridad y efectividad, equiparable en el abordaje de patologías tales como apendicitis aguda, colecistitis aguda y úlcera péptica perforada, dejando en controversia, por falta de evidencia de alta calidad, su indicación en trauma cerrado o penetrante, obstrucción intestinal y enfermedad diverticular perforada.…”

Section: Discussionunclassified

Adenocarcinoma de colon sigmoide metastásico en paciente joven, presentación atípica: reporte de caso

Cañón

Gómez

2021

Rev Colomb Cir

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El adenocarcinoma colorrectal es la tercera causa de muerte por cáncer en mujeres y la cuarta en hombres a nivel mundial. Se diagnostica en su mayoría en pacientes mayores a los 50 años, siendo la edad media al momento del diagnóstico los 72 años. A pesar eso, se estima que en los próximos años aumentará la incidencia en personas jóvenes y de mediana edad. Debido a esta proyección y considerando que la ausencia de signos y síntomas específicos no permite un diagnóstico oportuno, se hacen necesarias la sensibilización clínica y un alto índice de sospecha en las presentaciones atípicas. Se presenta el caso de una paciente joven que consulta por un cuadro de un mes de síntomas respiratorios quien, después de tratamiento antibiótico, antiviral e inmunomodulador sistémico, presenta sepsis de origen abdominal por peritonitis de cuatro cuadrantes secundaria a perforación de colon sigmoide debida a adenocarcinoma bien diferenciado, metastásico a pulmón, que la llevó a la muerte.

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Is Laparoscopy Safe and Effective in Nontraumatic Acute Abdomen?

Cited by 11 publications

References 24 publications

Changes in the Surgical Approach to Colonic Emergencies during a 15-Year Period

Changes in the Surgical Approach to Colonic Emergencies during a 15-Year Period

Diagnostic accuracy of laparoscopy in non-traumatic emergency abdominal surgery

Adenocarcinoma de colon sigmoide metastásico en paciente joven, presentación atípica: reporte de caso

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