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Laparoscopy and Minimally Invasive Surgery Techniques in Acute Care Surgery

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Trauma Centers and Acute Care Surgery

Part of the book series: Updates in Surgery ((UPDATESSURG))

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Abstract

Advantages of the laparoscopic approach in various abdominal emergencies have led to increasing consensus on the need for more widespread adoption of minimally invasive techniques, with multiple studies reporting on their safety, feasibility, and improved outcomes compared to standard open surgery. A laparoscopic approach is now widely recommended in acute appendicitis, acute cholecystitis, and perforated peptic ulcers. It is gaining a larger role in other conditions, although some are still debated, including laparoscopic lavage for perforated diverticulitis, laparoscopic lysis for adhesive small bowel obstruction, and laparoscopic reduction and repair for obstructed hernias, amongst others. In patients in whom the diagnosis of continuing acute abdominal pain of less than 1-week duration remains elusive, diagnostic laparoscopy represents a valid option to consider, with a diagnostic accuracy ranging from 89 to 100%. In hemodynamically non-compromised patients, laparoscopy is a reliable tool for diagnosing patients with penetrating and blunt abdominal injury and, in selected patients, it may have a therapeutic role in the treatment of several types of injuries. Absolute contraindications to laparoscopy in acute care surgery include surgeons with little laparoscopic experience, hemorrhagic or septic shock with hemodynamic instability, and few other conditions.

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Author information

Authors and Affiliations

  1. General Surgery and Trauma Team, Niguarda Hospital, Milan, Italy

    Francesco Virdis

  2. Department of General and Emergency Surgery, University Hospital of Monserrato-Cagliari, Cagliari, Italy

    Mauro Podda

  3. Department of Hepatobiliary and Pancreatic Surgery, Hammersmith Hospital NHS Trust, London, UK

    Isabella Reccia

  4. Department of Medical and Surgical Sciences, Magna Græcia University, Catanzaro, Italy

    Gaetano Gallo

  5. Department of General and Trauma Surgery, Brighton and Sussex University Hospital NHS Trust, Brighton, UK

    Mansoor Khan

  6. Department of General and Trauma Surgery, Scripps Mercy Hospital, San Diego, CA, USA

    Matthew Martin

  7. Department of General Surgery, University Hospital of Varese, Varese, Italy

    Salomone Di Saverio

Authors
  1. Francesco Virdis
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  2. Mauro Podda
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  3. Isabella Reccia
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  4. Gaetano Gallo
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  5. Mansoor Khan
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  6. Matthew Martin
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  7. Salomone Di Saverio
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Corresponding author

Correspondence to Salomone Di Saverio .

Editor information

Editors and Affiliations

  1. General Surgery and Trauma Team, Niguarda Hospital, Milan, Italy

    Osvaldo Chiara

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Virdis, F. et al. (2022). Laparoscopy and Minimally Invasive Surgery Techniques in Acute Care Surgery. In: Chiara, O. (eds) Trauma Centers and Acute Care Surgery. Updates in Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-73155-7_19

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  • DOI: https://doi.org/10.1007/978-3-030-73155-7_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-73154-0

  • Online ISBN: 978-3-030-73155-7

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