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Role of Emergency Laparoscopy in Surgical and Endoscopic Complications

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Mini-invasive Approach in Acute Care Surgery

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

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Abstract

Laparoscopic surgery in emergency settings is a standard practice worldwide; however, its utility when treating surgical or endoscopic complications has not been well established. The number of procedures managed by minimally invasive techniques in these situations has increased in the last decades, especially after colorectal, hepatobiliary, and appendectomy procedures. Explorative laparoscopy is an alternative to conventional laparotomy for patients with suspected early abdominal complications, if hemodynamically stable. The surgical options include proper lavage and drainage of the abdominal cavity, drainage of fluid collection, controlling postoperative bleeding, lysis of adherences, or bowel suture/resection. A mini-invasive approach reduces postoperative pain and the time to recovery and improves cosmetics. Iatrogenic injuries to abdominal organs are the major drawback of these procedures. Patient selection is extremely important in the emergency setting to increase this approach’s success rates.

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Author information

Authors and Affiliations

  1. Department of General and Digestive Surgery, Hospital Universitario Doctor Peset, Valencia, Spain

    Aleix Martínez-Pérez, Carmen Payá-Llorente & Álvaro Pérez-Rubio

  2. Faculty of Health Sciences, Valencian International University (VIU), Valencia, Spain

    Aleix Martínez-Pérez

  3. Unit of Colorectal and Digestive Surgery, DIGEST Department, Beaujon University Hospital, AP-HP, University of Paris Cité, Clichy, France

    Nicola de’Angelis

Authors
  1. Aleix Martínez-Pérez
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  2. Carmen Payá-Llorente
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  3. Álvaro Pérez-Rubio
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  4. Nicola de’Angelis
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Editor information

Editors and Affiliations

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

    Federico Coccolini

  2. Emergency Surgery Department, Cagliari University Hospital, A.O.U. di Cagliari, Monserrato, Cagliari, Italy

    Mauro Podda

  3. Oklahoma Univ. School of Med. at Tulsa, Tulsa, OK, USA

    Robert B. Lim

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

    Massimo Chiarugi

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Martínez-Pérez, A., Payá-Llorente, C., Pérez-Rubio, Á., de’Angelis, N. (2023). Role of Emergency Laparoscopy in Surgical and Endoscopic Complications. In: Coccolini, F., Podda, M., Lim, R.B., Chiarugi, M. (eds) Mini-invasive Approach in Acute Care Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-031-39001-2_25

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  • DOI: https://doi.org/10.1007/978-3-031-39001-2_25

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