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Published on: March 15, 2024
Is laparoscopy safe and effective in nontraumatic acute abdomen?
Carlo Caruso1, Marco La Torre, Bruno Benini
1Department of Biosciences, Tecnopolo di Castel Romano, Rome, Italy.
Summary
Laparoscopic surgery is safe and feasible for treating nontraumatic abdominal emergencies. This approach offers accurate diagnosis and effective treatment with low morbidity rates, especially in younger patients.
Area of Science:
- Minimally Invasive Surgery
- Surgical Gastroenterology
Background:
- Increasing laparoscopic experience drives adoption in emergency surgical cases.
- Laparoscopic surgery is gaining traction for acute abdomen management.
Purpose of the Study:
- To evaluate the safety and feasibility of laparoscopy for nontraumatic abdominal emergencies.
- To present outcomes from a prospective series of 300 patients.
Main Methods:
- Prospective multicenter study.
- Inclusion of 300 patients with provisional diagnosis of acute abdomen.
- Data collection on laparoscopic treatment or explorative laparoscopy.
Main Results:
- 100% diagnostic accuracy with laparoscopy.
- 90% success rate for therapeutic laparoscopy.
- Conversion rate and morbidity correlated with patient age and operative time (P<.0001).
- Overall postoperative morbidity rate of 8% with a mean hospital stay of 5.4 days.
Conclusions:
- Laparoscopy is crucial for managing abdominal emergencies.
- Offers diagnostic, explorative, and therapeutic advantages over open surgery.
- Demonstrates low morbidity and mortality rates in acute abdomen treatment.
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