Brief Useful Comments on Laparoscopic Surgery in Acute Abdomen
Efstathios T. Pavlidis *
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Maria Vousvouki
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Christina Mouratidou
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Athanasios Kofinas
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Georgios Giulekas
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Nikolaos Asaloumidis
Aristotle University of Thessaloniki, Medical Faculty, Second Surgical Propedeutic Department, Hippocration Hospital, Konstantinoupoleos 49, 546 42 Thessaloniki, Greece
Theodoros E. Pavlidis
*Author to whom correspondence should be addressed.
Abstract
The use of laparoscopic surgery tends to become more and more popular, nowadays. It has also been extended in the management of acute abdominal disease as a diagnostic and as a therapeutic tool. However, its therapeutic use requires special experience and appropriate instrumentation, in addition to a reliable definite diagnosis. Based on randomized, controlled trials, it can be postulated that laparoscopic surgery in acute abdomen is feasible, safe and effective in acute cholecystitis, acute appendicitis and gastroduodenal ulcer perforation. There are still conflicting aspects in perforated diverticular disease and small bowel obstruction. In case of purulent peritonitis attention must be paid in order to avoid residual abscess formation and sepsis by thorough irrigation of the peritoneal cavity and on time antibiotic therapy. The proper indication for each case under the certain emergency circumstances is crucial.
Keywords: Laparoscopic surgery, acute abdomen, abdominal emergency, emergency operation, peritonitis, obstruction