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Laparoscopic surgery: A qualified systematic review.

Alexander Buia1, Florian Stockhausen1, Ernst Hanisch1

  • 1Alexander Buia, Florian Stockhausen, Department of General and Visceral Surgery, St. Elisabethen-Krankenhaus, Academic Teaching Hospital Goethe-University Frankfurt, D-60487 Frankfurt, Germany.

World Journal of Methodology
|December 30, 2015
PubMed
Summary
This summary is machine-generated.

Laparoscopic surgery offers minimal trauma and faster recovery compared to open procedures. Advancements in training and technology enhance its safety and feasibility for various surgical applications.

Keywords:
AppendectomyCholecystectomyColon resectionEndoscopic surgeryEsophagectomyGastrectomyGastric cancerLaparoscopic surgeryPancreatic surgeryRectal resection

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Evidence-Based Medicine

Background:

  • Laparoscopic surgery has evolved significantly, offering advantages over traditional open surgery.
  • Minimizing abdominal wall trauma is a key benefit of laparoscopic techniques.
  • Established laparoscopic procedures include cholecystectomy, fundoplication, and adrenalectomy.

Purpose of the Study:

  • To review current applications of laparoscopic surgery.
  • To highlight standard laparoscopic procedures across various surgical fields.
  • To assess the advancements and benefits of minimally invasive surgical techniques.

Main Methods:

  • Comprehensive literature search using PubMed Advanced Search Builder.
  • Inclusion of review articles, randomized controlled trials, and meta-analyses.
  • Hand-searching of Cochrane database and high-impact journals for relevant studies.

Main Results:

  • 185 relevant articles were identified, covering the evolution of laparoscopic surgery.
  • Laparoscopic surgery minimizes trauma, leading to faster recovery and reduced hospital stays.
  • While gold standard in some procedures, superiority over open surgery requires further RCT validation.

Conclusions:

  • Improvements in surgical training, instruments, imaging, and techniques have enhanced safety.
  • Laparoscopic surgical procedures are increasingly feasible and safe across multiple indications.
  • Minimally invasive approaches demonstrate positive outcomes, efficiency, and reduced perioperative morbidity.