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Current status of laparoscopic colorectal surgery in the emergency setting

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Abstract

Laparoscopic surgery has become well established in the management of both benign as malignant colorectal disease. However there has not been the same enthusiasm for the use of laparoscopy in emergency colorectal surgery. We have critically review the indications and the results of the laparoscopic approach for the treatment of acute colorectal disease. A systemic review based on comprehensive Literature research was made on Pubmed with the primary objective to identify all clinical relevant randomized controlled trials (RCT). However, other reports, population based outcomes studies, case series and case reports were also included. Cross-link control was than performed with Google Scholar and Cochrane library databases. We have reviewed the last years’ evident literature about this last topic and the results reported , although mainly early, controversial and focused on the short term, enabled us to generally conclude that in a proper setting, laparoscopic colorectal emergency surgery is feasible, effective, safe and beneficial for patients to be a part of a common surgical practice, as long as adequate training is obtained and proper preparation observed when more advanced procedures are attempted in critically patients.

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Authors and Affiliations

  1. Department of General Surgery, ULSS19 del Veneto, Adria, RO, Italy

    Ferdinando Agresta

  2. Department of Surgical Sciences, University of Torino, Turin, Italy

    Alberto Arezzo, Marco Ettore Allaix & Simone Arolfo

  3. Department of Surgical Sciences, University of Ferrara School of Medicine, Ferrara, Italy

    Gabriele Anania

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  1. Ferdinando Agresta
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  2. Alberto Arezzo
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  3. Marco Ettore Allaix
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  5. Gabriele Anania
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Correspondence to Ferdinando Agresta.

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Agresta, F., Arezzo, A., Allaix, M.E. et al. Current status of laparoscopic colorectal surgery in the emergency setting. Updates Surg 68, 47–52 (2016). https://doi.org/10.1007/s13304-016-0356-1

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