title: Current status of laparoscopic colorectal surgery in the emergency setting.
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.
authors.affiliation: Department of General Surgery, ULSS19 del Veneto, Adria, RO, Italy. fagresta@libero.it.
authors.forename: Ferdinando
authors.identifier: http://orcid.org/0000-0002-6114-1881
authors.initials: F
authors.lastname: Agresta
authors.affiliation: Department of Surgical Sciences, University of Torino, Turin, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Arezzo
authors.affiliation: Department of Surgical Sciences, University of Torino, Turin, Italy.
authors.forename: Marco Ettore
authors.initials: ME
authors.lastname: Allaix
authors.affiliation: Department of Surgical Sciences, University of Torino, Turin, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Arolfo
authors.affiliation: Department of Surgical Sciences, University of Ferrara School of Medicine, Ferrara, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Anania
mesh_terms: D003108:Colonic Diseases / Q000601:surgery*; D003107:Colorectal Surgery / Q000379:methods*; D004630:Emergencies; D004636:Emergency Service, Hospital; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D012002:Rectal Diseases / Q000601:surgery*
keywords: Colon diseases; Emergency; Laparoscopy