[Laparoscopy in emergency: treatment of choice in acute abdomen].
From 1992 to November 1999, 225 consecutive cases of acute abdomen were observed: 163 suspicious acute appendicitis, 7 ovarian cysts with suspect torsion, 4 intestinal occlusions, 1 digestive hemorrhage due GIST (Gastro-Intestinal Stromal Tumor), 1 case of hemoperitoneum after laparoscopic appendectomy and 49 cases of acute cholecystitis. In the 225 cases of emergency laparoscopic operations for acute abdomen the diagnostic accuracy has been of 99.5%, with only one case of conversion in to laparotomy for diagnosis. The conversion from laparoscopic to laparatomic surgical technique was registers in 2 cases (1%). The realimentation started in all the cases with a liquid diet as soon as 6 hours after the operation and with solid foods the following morning. The Authors haven't registered wound contaminations. The patients of working age rehabilitated in 8 days (between 7 and 21 days). In the athletic patients the average rehabilitation time was 15 days. On the base of the results obtained with their video-laparoscopy experience in acute abdomen emergency surgery, the Authors confirm that this technique can be advised as Emergency Surgery's first choice treatment.
Catani
M
M
II Clinica Chirurgica, Università degli Studi La Sapienza di Roma, DEA 2, Policlinico Umberto I.
De Milito
R
R
Chiaretti
M
M
Manili
G
G
Spaziani
E
E
Antoniozzi
A
A
Rengo
M
M
D000006:Abdomen, Acute / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D002764:Cholecystitis / Q000601:surgery; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery