Skip to main content
SpringerLink
Log in

Laparoscopic Approaches to Emergency General Surgery

  • Chapter
  • First Online:
Emergency General Surgery in Geriatrics

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

  • 710 Accesses

Abstract

In the elderly population, minimally invasive surgery (MIS) is the golden standard for several elective surgeries. An increasing number of publications show that MIS can also be applied in acute care surgery. In acute cholecystitis, acute appendicitis, perforated peptic ulcer, and other emergency situations laparoscopic approach on elderly patients are recommended by many surgical societies as first-line therapy. Limiting factors for not utilizing laparoscopic procedures are not correlated with age but more related to the patients’ comorbidities. Further studies on acute surgical procedures are needed to extend the indication for performing acute surgery using minimally invasive techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Orimo H, Ito H, Suzuki T, et al. Reviewing the definition of “elderly”. Geriatr Gerontol Int. 2006;3:149–58.

    Article  Google Scholar 

  2. Ballesta Lopez C, Cid JA, Poves I, Bettonica C, Villegas L, Memon MA. Laparoscopic surgery in the elderly patient. Surg Endosc. 2003;17(2):333–7.

    Article  CAS  Google Scholar 

  3. Safran DB, Orlando R. Physiologic effects of pneumoperitoneum. Am J Surg. 1994;167(2):281–6.

    Article  CAS  Google Scholar 

  4. Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA. 2016;315(8):801–10.

    Article  CAS  Google Scholar 

  5. Hatipoglu S, Akbulut S, Hatipoglu F, Abdullayev R. Effect of laparoscopic abdominal surgery on splanchnic circulation: historical developments. World J Gastroenterol. 2014;20(48):18165–76.

    Article  Google Scholar 

  6. Hasson HM, Galanopoulos C, Langerman A. Ischemic necrosis of small bowel following laparoscopic surgery. JSLS. 2004;8(2):159–63.

    PubMed  PubMed Central  Google Scholar 

  7. Ren H, Tong Y, Ding XB, Wang X, Jin SQ, Niu XY, et al. Abdominal wall-lifting versus CO2 pneumoperitoneum in laparoscopy: a review and meta-analysis. Int J Clin Exp Med. 2014;7(6):1558–68.

    PubMed  PubMed Central  Google Scholar 

  8. Nomi T, Hirokawa F, Kaibori M, Ueno M, Tanaka S, Hokuto D, et al. Laparoscopic versus open liver resection for hepatocellular carcinoma in elderly patients: a multi-centre propensity score-based analysis. Surg Endosc. 2020;34(2):658–66.

    Article  Google Scholar 

  9. Liu L, Lv N, Hou C. Effects of a multifaceted individualized pneumoperitoneum strategy in elderly patients undergoing laparoscopic colorectal surgery: a retrospective study. Medicine (Baltimore). 2019;98(14):e15112.

    Article  Google Scholar 

  10. Tanaka T, Suda K, Inaba K, Umeki Y, Gotoh A, Ishida Y, et al. Impact of frailty on postoperative outcomes for laparoscopic gastrectomy in patients older than 80 years. Ann Surg Oncol. 2019;26(12):4016–26.

    Article  Google Scholar 

  11. Lu J, Zheng HL, Li P, Xie JW, Wang JB, Lin JX, et al. High preoperative modified frailty index has a negative impact on short- and long-term outcomes of octogenarians with gastric cancer after laparoscopic gastrectomy. Surg Endosc. 2018;32(5):2193–200.

    Article  Google Scholar 

  12. Wang D, Dong T, Shao Y, Gu T, Xu Y, Jiang Y. Laparoscopy versus open appendectomy for elderly patients, a meta-analysis and systematic review. BMC Surg. 2019;19(1):54.

    Article  CAS  Google Scholar 

  13. Loozen CS, van Ramshorst B, van Santvoort HC, Boerma D. Early cholecystectomy for acute cholecystitis in the elderly population: a systematic review and meta-analysis. Dig Surg. 2017;34(5):371–9.

    Article  Google Scholar 

  14. Pisano M, Ceresoli M, Cimbanassi S, Gurusamy K, Coccolini F, Borzellino G, et al. 2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population. World J Emerg Surg. 2019;14:10.

    Article  Google Scholar 

  15. Leusink A, Markar SR, Wiggins T, Mackenzie H, Faiz O, Hanna GB. Laparoscopic surgery for perforated peptic ulcer: an English national population-based cohort study. Surg Endosc. 2018;32(9):3783–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of General Surgery, Department of Surgery, Medical University of Graz, Graz, Austria

    J. E. Waha & S. Uranues

Authors
  1. J. E. Waha
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Uranues
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Uranues .

Editor information

Editors and Affiliations

  1. Department of Surgery, New York Medical College, School of Medicine and Westchester Medical Center, Valhalla, NY, USA

    Rifat Latifi

  2. Emergency Surgery Department, Parma University Hospital, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy

    Federico Coccolini

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Waha, J.E., Uranues, S. (2021). Laparoscopic Approaches to Emergency General Surgery. In: Latifi, R., Catena, F., Coccolini, F. (eds) Emergency General Surgery in Geriatrics . Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-62215-2_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-62215-2_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62214-5

  • Online ISBN: 978-3-030-62215-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation