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2016 ; 22
(9
): 2701-10
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Laparoscopic approach in gastrointestinal emergencies
#MMPMID26973409
Jimenez Rodriguez RM
; Segura-Sampedro JJ
; Flores-Cortés M
; López-Bernal F
; Martín C
; Diaz VP
; Ciuro FP
; Ruiz JP
World J Gastroenterol
2016[Mar]; 22
(9
): 2701-10
PMID26973409
show ga
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.
|*Emergencies
[MESH]
|*Laparoscopy/adverse effects
[MESH]
|Acute Disease
[MESH]
|Digestive System Diseases/diagnosis/*surgery
[MESH]
|Digestive System Surgical Procedures/adverse effects/*methods
[MESH]