RT Journal Article
T1 Laparoscopic approach in gastrointestinal emergencies
A1 Jimenez Rodriguez, Rosa M.
A1 Jose Segura-Sampedro, Juan
A1 Flores-Cortes, Mercedes
A1 Lopez-Bernal, Francisco
A1 Martin, Cristobalina
A1 Pino Diaz, Veronica
A1 Pareja Ciuro, Felipe
A1 Padillo Ruiz, Javier
K1 Minimally invasive surgery
K1 Gastrointestinal surgery
K1 Emergency surgery
K1 Digestive emergencies
K1 Abdominal emergencies
K1 Perforated peptic-ulcer
K1 Minimally invasive treatment
K1 Randomized clinical-trial
K1 Severe acute-pancreatitis
K1 Evidence-based guidelines
K1 Small-bowel obstruction
K1 Esophageal-perforation
K1 Open repair
K1 Necrotizing pancreatitis
K1 Meckels-diverticulum
AB This review focuses on the laparoscopic approach to gastrointestinal emergencies and its more recent indications. Laparoscopic surgery has a specific place in elective procedures, but that does not apply in emergency situations. In specific emergencies, there is a huge range of indications and different techniques to apply, and not all of them are equally settle. We consider that the most controversial points in minimally invasive procedures are indications in emergency situations due to technical difficulties. Some pathologies, such as oesophageal emergencies, obstruction due to colon cancer, abdominal hernias or incarcerated postsurgical hernias, are nearly always resolved by conventional surgery, that is, an open approach due to limited intraabdominal cavity space or due to the vulnerability of the bowel. These technical problems have been solved in many diseases, such as for perforated peptic ulcer or acute appendectomy for which a laparoscopic approach has become a well-known and globally supported procedure. On the other hand, endoscopic procedures have acquired further indications, relegating surgical solutions to a second place; this happens in cholangitis or pancreatic abscess drainage. This endoluminal approach avoids the need for laparoscopic development in these diseases. Nevertheless, new instruments and new technologies could extend the laparoscopic approach to a broader array of potentials procedures. There remains, however, a long way to go.
PB Baishideng publishing group inc
SN 1007-9327
YR 2016
FD 2016-03-07
LK http://hdl.handle.net/10668/19336
UL http://hdl.handle.net/10668/19336
LA en
DS RISalud
RD Apr 10, 2025