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[Emergency minimally invasive surgery]

M Bianchi1, F Colombo, R Scarabelli

  • 1Divisione di Chirurgia d'Urgenza, Ospedale Fatebenefratelli e Oftalmico, Milano.

Minerva Chirurgica
|March 7, 1998
PubMed
Summary
This summary is machine-generated.

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Minimally invasive surgery is effective for thoracic and abdominal emergencies, offering shorter hospital stays than open surgery. Conversion to open surgery occurred in 23% of cases due to bleeding, adhesions, or visceral damage.

Area of Science:

  • Emergency Medicine
  • Surgical Innovation
  • Minimally Invasive Surgery

Context:

  • Focuses on thoracic and abdominal emergencies.
  • Examines minimally invasive vs. open surgery approaches.
  • Analyzes patient outcomes over a two-year period.

Purpose:

  • To evaluate the utility of minimally invasive surgery (MIS) for acute thoracic and abdominal conditions.
  • To determine the rate of conversion to open surgery and associated causes.
  • To compare hospitalization duration between MIS and open surgery.

Summary:

  • 203 patients underwent MIS for emergencies; 23% (46 patients) required conversion to open surgery.
  • Common conversion reasons included bleeding, adhesions, and visceral damage.

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  • Postoperative complications were managed with laparotomy or further MIS, with some spontaneous recovery.

    • Impact:

    • MIS is a valuable diagnostic and therapeutic tool for acute diseases.
    • MIS can lead to shorter hospitalizations compared to traditional open surgery.
    • Highlights the importance of careful patient selection and surgical planning for MIS in emergencies.