By Ferdinando Agresta, Fabio Cesare Campanile, Gabriele Anania, Carlo Bergamini
This e-book presents up to date proof on laparoscopic emergency surgical procedure and provides concrete recommendation on while and the way to procedure sufferers laparoscopically in an emergency atmosphere. the entire ailments elegible for emergency laparoscopy are addressed, and for every illness ideas, degrees of proof, and technical key issues are mentioned and analyzed. Diagnostic circulation charts are incorporated for circumstances within which laparoscopy seems to be the ultimate diagnostic step and the 1st healing one. in addition, difficult and positive factors of the laparoscopic technique from the anesthesiologic standpoint are absolutely explored. ultimately, an invaluable assessment of present perform in hospitals internationally is equipped, highlighting the various purposes relating to assorted clinical “cultures”, talents, assets, and healthcare systems.
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Additional resources for Emergency Laparoscopy
2 Acute Cholecystitis in the Elderly In a later chapter, we will treat the issue of laparoscopic emergency surgery in the elderly. Here, we will examine some specific aspects concerning acute cholecystitis. The prevalence of gallstones increases with age and the life expectancy rises worldwide. Therefore, the analysis of the more appropriate treatment modalities in this age group is becoming more and more relevant. In addition, the co-morbidities in the elderly are obviously more frequent and the acute biliary disease itself appears to be more severe in this age group.
A clinical trial. Br J Surg 70:163–165 29. Lai PB, Kwong KH, Leung KL et al (1998) Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 85:764–767. 1046/j. x 30. Lo CM, Liu CL, Fan ST et al (1998) Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 227:461–467 31. Davila D, Manzanares C, Picho M et al (1999) Experience in the treatment (early vs. delayed) of acute cholecystitis via laparoscopy.
Hepatogastroenterology 61:958–965 68. Licciardello A, Arena M, Nicosia A et al (2014) Preoperative risk factors for conversion from laparoscopic to open cholecystectomy. Eur Rev Med Pharmacol Sci 18:60–68 69. Decker G, Goergen M, Philippart P, Mendes da Costa P (2001) Laparoscopic cholecystectomy for acute cholecystitis in geriatric patients. Acta Chir Belg 101:294–299 70. Lupinacci RM, Nadal LR, Rego RE et al (2013) Surgical management of gallbladder disease in the very elderly: are we operating them at the right time?