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Published on: June 25, 2013
[Laparoscopy in emergency abdominal surgery]
V T Samsonov1, A S Ermolov1, A A Gulyaev1
1Sklifosovsky Research Institute for Emergency Care of Moscow Healthcare Department, Moscow, Russia.
Objective:
To evaluate the possibilities of laparoscopy in the diagnosis and treatment of acute abdominal surgical diseases.
Material And Methods:
A retrospective analysis of laparoscopic procedures in 4655 patients with confirmed or suspected acute abdominal surgical diseases for the period 2008-2017 was performed. Laparoscopy was applied to confirm or to determine unclear diagnosis.
Results:
Diagnosis was established and confirmed in 4526 (97.2%) patients. Advisability of laparoscopic surgery was confirmed in 3091 (68.3%) patients, laparotomy - in 491 (10.8%) patients. Surgical treatment was not required in 944 (20.9%) patients. Laparoscopic procedures were performed in 3050 (98.7%) patients, 41 (1.3%) patients required conversion to laparotomy. Laparoscopic approach failed to define diagnosis in 129 (2.8%) patients that required conversion to diagnostic laparotomy.
Conclusion:
Laparoscopic was valuable to establish the diagnosis and determine surgical strategy, diagnose concomitant diseases, perform operations including simultaneous ones.
