eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2007
vol. 2
 
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Original article
Laparoscopic interventions in urgent patients – 2 years of our experience

Grzegorz Jurga
,
Stanisław Fabisiewicz
,
Mariusz Łazarz
,
Jacek Pawlak

Wideochirurgia i inne techniki małoinwazyjne 2007; 2 (3): 119–121
Online publish date: 2007/10/03
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Introduction: During two years of work of the General Surgery Ward, 502 emergency operations were performed. Laparoscopy was conducted in 138 patients.
Aim: To assess the potential of using videoscopy techniques in “emergency” operations.
Materials and methods: 138 patients were analysed, in which emergency laparoscopy was conducted on admission to the ward. 74 female patients aged 17 to 81, and 64 male patients between 14 and 78 were operated on. During the first year, 46 emergency laparoscopies were performed, and in the second year 92 operations of this kind were made.
Results: 96 patients were operated on due to acute cholecystitis. Laparoscopic cholecystectomy was conducted in 53 patients. 27 patients were diagnosed with empyema of gallbladder, 8 hygroma and 18 acute inflammation due to cholecystolithiasis. In 5 cases conversion was performed. Appendectomies were made in 121 patients and 69 were operated on by laparoscopy. 61 laparoscopic appendectomies were performed and 9 appendectomies were laparoscopy assisted. In 36 cases phlegmonous or gangrenous appendicitis and in 33 patients acute appendicitis was observed.
10 patients complained of lymphadenitis. Conversion was performed in 4 cases. In two cases, perforations of pylorus ulcer were sutured and in 5 cases adhesions, which were the cause of obstruction of the digestive tract, were released.
In 9 cases diagnostic laparoscopy was made.
Conclusions: Laparoscopic surgeries constitute an increasing percentage of emergency operations. There is only one condition that has to be fulfilled to make them possible and that is 24 hour availability of laparoscopy.
keywords:

laparoscopy, emergency service, laparoscopic cholecystectomy, laparoscopic appendectomy

  
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