Skip to main content
SpringerLink
Log in

Laparoscopy in Surgical Emergencies

  • Chapter
  • First Online:
Acute Care Surgery Handbook

Abstract

The minimally invasive approach, as defined by Di Saverio, refers to a surgical procedure performed through smaller than one centimeter abdominal incisions, as opposed to the traditionally larger and more painful laparotomy ones, therefore captivating the patient’s preference [1]. Laparoscopy is a currently spread technique for most procedures and, in some of them, has become the gold standard for optimal results in terms of recovery, costs, hospital stay, and so on. Nevertheless, only a few years ago, laparoscopy was presented as a developing technique with better cosmetic results and better comfort for the patient, but marked in some cases by higher rate of some complications and higher costs. In the recent years, the technique itself has improved for all procedures and also the instruments; thus the open approach is not acceptable for the most except in the case of contraindications for a laparoscopic approach, even in emergency cases.

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 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight 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

Similar content being viewed by others

References

  1. Di Saverio S. Emergency laparoscopy: a new emerging discipline for treating abdominal emergencies attempting to minimize costs and invasiveness and maximize outcomes and patients’ comfort. J Trauma Acute Care Surg. 2014;77(2):338–50.

    Article  PubMed  Google Scholar 

  2. Spaner SJ, Warnock GL. A brief history of endoscopy, laparoscopy, and laparoscopic surgery. J Laparoendosc Adv Surg Tech A. 1997;7(6):369–73.

    Article  CAS  PubMed  Google Scholar 

  3. Frantizides CT, editor. Laparoscopic and thoracoscopic surgery. St. Louis: Mosby; 1995.

    Google Scholar 

  4. Gomella LG, Kozminski M, Wingield HN. Laparoscopic urologie surgery. New York: Raven; 1994.

    Google Scholar 

  5. Klaiber C, Metzger A, Petelin JB. Manual of laparoscopic surgery. Seattle: Hagrefe and Huber; 1993.

    Google Scholar 

  6. Mandrioli M, Inaba K, Piccinini A, Biscardi A, Sartelli M, Agresta F, Catena F, Cirocchi R, Jovine E, Tugnoli G, Di Saverio S. Advances in laparoscopy for acute care surgery and trauma. World J Gastroenterol. 2016;22(2):668–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Navez B, Tassetti V, Scohy JJ, Mutter D, Guiot P, Evrard S, Marescaux J. Laparoscopic management of acute peritonitis. Br J Surg. 1998;85(1):32–6.

    Article  CAS  PubMed  Google Scholar 

  8. Partecke LI, Bernstoff W, Karrasch A. Unexpected findings on laparoscopy for suspected acute appendicitis: a pro for laparoscopic appendectomy as the standard procedure for acute appendicitis. Langenbecks Arch Surg. 2010;395:1069–76.

    Article  PubMed  Google Scholar 

  9. Semm K. Endoscopic appendectomy. Endoscopy. 1983;15:59–64.

    Article  CAS  PubMed  Google Scholar 

  10. Hass L, Stargardt T, Schreyoegg J. Cost-effectiveness of open versus laparoscopic appendectomy: a multilevel approach with propensity score matching. Eur J Health Econ. 2012;13(5):549–60.

    Article  Google Scholar 

  11. Mc Burney C. The incision made in the abdominal wall in case of appendicitis with a description of a new method of operating. Ann Surg. 1894;20:38–43.

    Article  CAS  Google Scholar 

  12. Wei B, Qi CL, Chen TF. Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc. 2011;24:1199–208.

    Article  Google Scholar 

  13. Sporn E, Petroski GF, Mancini GJ. Laparoscopic appendectomy. Is it worth the cost? Trend analysis in the US from 2000 to 2005. J Am Coll Surg. 2009;208:179–85.

    Article  PubMed  Google Scholar 

  14. Long KH, Bannon MP, Zietlow SP, Helgeson E, Harmsen WS, Smith CD. A prospective randomized comparison of laparoscopic appendectomy with open appendectomy: clinical and economic analyses. Surgery. 2001;129:390–400.

    Article  CAS  PubMed  Google Scholar 

  15. Maxwell JG, Tyler BA, Rutledge R, Brinker CC, Maxwell BG, Covington DL. Deriving the indications for laparoscopic appendectomy from a comparison of the outcomes of laparoscopic and open appendectomy. Am J Surg. 2001;182:687–92.

    Article  CAS  PubMed  Google Scholar 

  16. Fingerhut A, Millat B, Borrie F. Laparoscopic versus open appendectomy: time to decide. World J Surg. 1999;23:835–45.

    Article  CAS  PubMed  Google Scholar 

  17. Guller U, Hervey S, Purves H. Laparoscopic versus open appendectomy. Outcomes based on a large administrative database. Ann Surg. 2004;239:43–52.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Costa-Navarro D, Jiménez-Fuertes M, Illán-Riquelme A. Laparoscopic appendectomy: quality care and cost-effectiveness for today’s economy. World J Emerg Surg. 2013;8(1):45.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Pelosi MA, Pelosi MA. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med. 1992;37:588–94.

    CAS  PubMed  Google Scholar 

  20. Piskun G, Rajpal S. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A. 1999;9:361–4.

    Article  CAS  PubMed  Google Scholar 

  21. Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386:1278–87.

    Article  PubMed  Google Scholar 

  22. Hua J, Gong J, Xu B, Yang T, Song Z. Single-incision versus conventional laparoscopic appendectomy: a meta-analysis of randomized controlled trials. J Gastrointest Surg. 2014;18:426–36.

    Article  PubMed  Google Scholar 

  23. Markar SR, Karthikesalingam A, Di Franco F, Harris AM. Systematic review and meta-analysis of single-incision versus conventional multiport appendicectomy. Br J Surg. 2013;100:1709–18.

    Article  CAS  PubMed  Google Scholar 

  24. Chow A, Purkayastha S, Nehme J, Darzi LA, Paraskeva P. Single incision laparoscopic surgery for appendicectomy: a retrospective comparative analysis. Surg Endosc. 2010;24:2567–74.

    Article  PubMed  Google Scholar 

  25. St Peter SD, Adibe OO, Juang D, Sharp SW, Garey CL, Laituri CA, Murphy JP, Andrews WS, Sharp RJ, Snyder CL, Holcomb GW, Ostlie DJ. Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial. Ann Surg. 2011;254:586–90.

    Article  PubMed  Google Scholar 

  26. Garey CL, Laituri CA, Ostlie DJ, Snyder CL, Andrews WS, Holcomb GW, St Peter SD. Single-incision laparoscopic surgery in children: initial single-center experience. J Pediatr Surg. 2011;46:904–7.

    Article  PubMed  Google Scholar 

  27. Ponsky TA, Diluciano J, Chwals W, Parry R, Boulanger S. Early experience with single-port laparoscopic surgery in children. J Laparoendosc Adv Surg Tech A. 2009;19:551–3.

    Article  PubMed  Google Scholar 

  28. Di Saverio S, Bassi M, Smerieri N, Masetti M, Ferrara F, Fabbri C, Ansaloni L, Ghersi S, Serenari M, Coccolini F, Naidoo N, Sartelli M, Tugnoli G, Catena F, Cennamo V, Jovine E. Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper. World J Emerg Surg. 2014;9:45.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Cirocchi R, Abraha I, Farinella E, Montedori A, Sciannameo F. Laparoscopic versus open surgery in small bowel obstruction. Cochrane Database Syst Rev. 2010;(2):CD007511. doi:10.1002/14651858.CD007511.pub2.

  30. Andersen JC, Bundgaard L, Elbrønd H, Laurberg S, Walker LR, Støvring J. Danish Surgical Society. Danish national guidelines for treatment of diverticular disease. Dan Med J. 2012;59:C4453.

    PubMed  Google Scholar 

  31. Shahedi K, Fuller G, Bolus R, Cohen E, Vu M, Shah R, et al. Long-term risk of acute diverticulitis among patients with incidental diverticulosis found during colonoscopy. Clin Gastroenterol Hepatol. 2013;11(12):1609–13.

    Article  PubMed  Google Scholar 

  32. McDermott FD, Collins D, Heeney A, Winter DC. Minimally invasive and surgical management strategies tailored to the severity of acute diverticulitis. Br J Surg. 2014;101(1):e90–9.

    Article  CAS  PubMed  Google Scholar 

  33. Lee PC, Lo C, Lai PS, Chang JJ, Huang SJ, Lin MT, Lee PH. Randomized clinical trial of single-incision laparoscopic cholecystectomy versus minilaparoscopic cholecystectomy. Br J Surg. 2010;97:1007–12.

    Article  PubMed  Google Scholar 

  34. Pereira Jr GA, Catani M, Baiocchi G, Bini R, Anania G, Negoi I, Kecbaja Z, Omari AH, Cui Y, Kenig J, Sato N, Vereczkei A, Skrovina M, Das K, Bellanova G, Di Carlo I, Segovia Lohse HA, Kong V, Kok KY, Massalou D, Smirnov D, Gachabayov M, Gkiokas G, Marinis A, Spyropoulos C, Nikolopoulos I, Bouliaris K, Tepp J, Lohsiriwat V, Çolak E, Isik A, Rios-Cruz D, Soto R, Abbas A, Tranà C, Caproli E, Soldatenkova D, Corcione F, Piazza D, Catena F. A proposal for a CT driven classification of left colon acute diverticulitis. World J Emerg Surg. 2015;10:3. doi:10.1186/1749-7922-10-3. eCollection 2015.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1:144–50.

    CAS  PubMed  Google Scholar 

  36. Gaertner WB, Kwaan MR, Madoff RD, Willis D, Belzer GE, Rothenberger DA, Melton GB. The evolving role of laparoscopy in colonic diverticular disease: a systematic review. World J Surg. 2013;37:629–38.

    Article  PubMed  Google Scholar 

  37. Andeweg CS, Mulder IM, Felt-Bersma RJ, Verbon A, van der Wilt GJ, van Goor H, Lange JF, Stoker J, Boermeester MA, Bleichrodt RP. Guidelines of diagnostics and treatment of acute left-sided colonic diverticulitis. Dig Surg. 2013;30:278–92.

    Article  CAS  PubMed  Google Scholar 

  38. Glasgow RE, Cho M, Hutter MM, Mulvihill SJ. The spectrum and cost of complicated gallstone disease in California. Arch Surg. 2000;135:1021–5; discussion 1025–1027.

    Article  CAS  PubMed  Google Scholar 

  39. Gurusamy KS, Davidson C, Gluud C, Davidson BR. Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis. Cochrane Database Syst Rev. 2013;(6):CD005440.

    Google Scholar 

  40. Gurusamy K, Samraj K, Gluud C, Wilson E, Davidson BR. Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 2010;97:141–50.

    Article  CAS  PubMed  Google Scholar 

  41. Gutt CN, Encke J, Köninger J, Harnoss JC, Weigand K, Kipfmüller K, Schunter O, Götze T, Golling MT, Menges M, Klar E, Feilhauer K, Zoller WG, Ridwelski K, Ackmann S, Baron A, Schön MR, Seitz HK, Daniel D, Stremmel W, Büchler MW. Acute cholecystitis: early versus delayed cholecystectomy, a multicenter randomized trial (ACDC study, NCT00447304). Ann Surg. 2013;258:385–93.

    Article  PubMed  Google Scholar 

  42. Peng WK, Sheikh Z, Nixon SJ, Paterson-Brown S. Role of laparoscopic cholecystectomy in the early management of acute gallbladder disease. Br J Surg. 2005;92:586–91.

    Article  CAS  PubMed  Google Scholar 

  43. Lo CM, Liu CL, Fan ST, Lai EC, Wong J. Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Ann Surg. 1998;227:461–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Richardson MC, Bell G, Fullarton GM. Incidence and nature of bile duct injuries following laparoscopic cholecystectomy: an audit of 5913 cases. West of Scotland Laparoscopic Cholecystectomy Audit Group. Br J Surg. 1996;83:1356–60.

    Article  CAS  PubMed  Google Scholar 

  45. Ambe P, Weber SA, Christ H, Wassenberg D. Cholecystectomy for acute cholecystitis. How time-critical are the so called “golden 72 hours”? Or better “golden 24 hours” and “silver 25–72 hour”? A case control study. World J Emerg Surg. 2014;9:60.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Russell JC, Walsh SJ, Mattie AS, Lynch JT. Bile duct injuries, 1989–1993. A statewide experience. Connecticut Laparoscopic Cholecystectomy Registry. Arch Surg. 1996;131:382–8.

    Article  CAS  PubMed  Google Scholar 

  47. Söderlund C, Frozanpor F, Linder S. Bile duct injuries at laparoscopic cholecystectomy: a single-institution prospective study. Acute cholecystitis indicates an increased risk. World J Surg. 2005;29:987–93.

    Article  PubMed  Google Scholar 

  48. Ma J, Cassera MA, Spaun GO, Hammill CW, Hansen PD, Aliabadi-Wahle S. Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomy. Ann Surg. 2011;254:22–7.

    Article  PubMed  Google Scholar 

  49. Blinman T. Incisions do not simply sum. Surg Endosc. 2010;24:1746–51.

    Article  PubMed  Google Scholar 

  50. Aktimur R, Güzel K, Çetinkünar S, Yıldırım K, Çolak E. Prospective randomized comparison of single-incision laparoscopic cholecystectomy with new facilitating maneuver vs. conventional four-port laparoscopic cholecystectomy. Ulus Cerrahi Derg. 2016;32(1):23–9.

    PubMed  PubMed Central  Google Scholar 

  51. Mahmood I, Tawfek Z, Abdelrahman Y, Siddiuqqi T, Abdelrahman H, El-Menyar A, Al-Hassani A, Tuma M, Peralta R, Zarour A, Yakhlef S, Hamzawi H, Al-Thani H, Latifi R. Significance of computed tomography finding of intra-abdominal free fluid without solid organ injury after blunt abdominal trauma: time for laparotomy on demand. World J Surg. 2014;38(6):1411–5.

    Article  PubMed  Google Scholar 

  52. Hefny AF, Kunhivalappil FT, Matev N, Avila NA, Bashir MO, Abu-Zidan FM. Usefulness of free intraperitoneal air detected by CT scan in diagnosing bowel perforation in blunt trauma: experience from a community-based hospital. Injury. 2015;46(1):100–4.

    Article  PubMed  Google Scholar 

  53. Hoff WS, Holevar M, Nagy KK, Patterson L, Young JS, Arrillaga A, Najarian MP, Valenziano CP. Practice management guidelines for the evaluation of blunt abdominal trauma: the EAST practice management guidelines work group. J Trauma. 2002;53:602–15.

    Article  PubMed  Google Scholar 

  54. Sosa JL, Baker M, Puente I, Sims D, Sleeman D, Ginzburg E, Martin L. Negative laparotomy in abdominal gunshot wounds: potential impact of laparoscopy. J Trauma. 1995;38:194–7.

    Article  CAS  PubMed  Google Scholar 

  55. Sosa JL, Arrillaga A, Puente I, Sleeman D, Ginzburg E, Martin L. Laparoscopy in 121 consecutive patients with abdominal gunshot wounds. J Trauma. 1995;39:501–54; discussion 501–54.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Alicante University General Hospital, Alicante, Spain

    David Costa-Navarro & Manuel Romero-Simó

Authors
  1. David Costa-Navarro
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Manuel Romero-Simó
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Costa-Navarro .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery Service, C.A. Pizzardi Maggiore Hospital AUSL Bologna, Bologna, Italy

    Salomone Di Saverio

  2. Surgery and Emergency, Maggiore Hospital of Parma, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, Bergamo, Italy

    Federico Coccolini

  5. Trauma, Emergency Medicine, Harvard Medical School Massachusetts General Hospital, Boston, Massachusetts, USA

    George Velmahos

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Costa-Navarro, D., Romero-Simó, M. (2016). Laparoscopy in Surgical Emergencies. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15362-9_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-15362-9_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15361-2

  • Online ISBN: 978-3-319-15362-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation