- Open Access
Emergency laparoscopy – current best practice
© Warren et al; licensee BioMed Central Ltd. 2006
- Received: 21 August 2006
- Accepted: 31 August 2006
- Published: 31 August 2006
Emergency laparoscopic surgery allows both the evaluation of acute abdominal pain and the treatment of many common acute abdominal disorders. This review critically evaluates the current evidence base for the use of laparoscopy, both diagnostic and interventional, in the emergency abdomen, and provides guidance for surgeons as to current best practise. Laparoscopic surgery is firmly established as the best intervention in acute appendicitis, acute cholecystitis and most gynaecological emergencies but requires further randomised controlled trials to definitively establish its role in other conditions.
- Acute Pancreatitis
- Laparoscopic Cholecystectomy
- Acute Cholecystitis
- Laparoscopic Appendicectomy
- Laparoscopic Repair
The emergence of laparoscopy in the late 1980's as a credible therapeutic intervention heralded a new surgical age. Demonstrable reduction of wound complications, post-operative pain, hospital stay and costs in treating gallbladder disease  and gynaecological conditions such as laparoscopic sterilisation  and hysterectomy  led to the expansion of its use in other abdominal organ pathology, such as the colon , stomach  and oesophagus . Initially laparoscopy was limited to elective surgery but as technology and surgical experience expanded so did the application of laparoscopy into the emergency setting . Laparoscopic surgery has now been described in many abdominal emergencies, such as acute appendicitis , blunt and penetrating trauma , perforated peptic ulcer disease  and acute pancreatitis , and this variety of conditions seems set to expand further.
When considering the role of emergency laparoscopy there are two distinct clinical scenarios that need to be considered. The first is that a specific pathology is assumed following diagnostic workup and thus a specific procedure is planned, the second is that abdominal pathology of uncertain causation or severity is present, and thus the primary aim of laparoscopy will be diagnostic. Over the last twenty years or more, a number of large cohort studies have reported high definitive diagnosis rates of between 86–100% in unselected patients [12–14], and as surgical experience and technology have improved so have the number of patients who are subsequently managed exclusively with laparoscopic surgery [15, 16]. Emergency diagnostic laparoscopy is not without distracting arguments; missed diagnoses, procedure related complications and delay to definitive open surgical procedure are all potential negatives.
This review aims to critically evaluate and summarise the current evidence base for the use of laparoscopy, both diagnostic and interventional, in the emergency abdomen, and to guide surgeons as to current best practise. We wish to emphasise that any endorsement for a laparoscopic approach is only valid for surgical units with experience and sufficient expertise in minimal access surgery.
Prior to modern day ultrasonography (US) and computed tomography (CT) scanning, laparotomy for abdominal trauma was negative and non-therapeutic in approximately one-third of cases , leading to increased morbidity and cost . However the use of abdominal helical and/or triple-contrast CT to evaluate abdominal injuries have substantially reduced this figure to around 6% . Despite being first reported in the mid-1970's [20, 21] laparoscopy for the diagnosis and treatment of traumatic abdominal injuries remains a relatively ill-defined concept. Only two randomized studies have reported on laparoscopy in trauma [22, 23] but despite this paucity of data some recommendations can be made. It would appear that laparoscopy in trauma has a role in well-selected patients, who, primarily, must be haemodynamically stable, because in unstable patients emergency surgical exploration of the abdomen may be life saving.
A significant number of patients who sustain penetrating trauma to the anterior abdominal wall do not suffer a peritoneal breach . Proving that penetration has not occurred negates the need for laparotomy, but current diagnostic modalities, including US and CT scanning are unable to do this due to high false – negative rates. Laparoscopy has been shown to be highly effective at determining peritoneal penetration [25, 26], resulting in decreased laparotomy rates , length of stay  and cost .
Laparoscopy is an excellent modality in the evaluation of the diaphragm in penetrating thoracoabdominal injuries. Current imaging modalities are limited because of low sensitivity , as is DPL. Laparoscopy provides direct visualisation of the left diaphragm and more limited visualization of the right diaphragm, and if found to be intact, laparotomy may be avoided . Both of the randomized control trials assessing laparoscopy in trauma patients focused on its diagnostic properties.
Whilst stable patients with blunt abdominal trauma may undergo diagnostic laparoscopy to exclude relevant injury, it's utility in this sub-group of patients is still relatively unproven .
The use of therapeutic laparoscopy remains controversial, with the majority of the literature compromising case reports or series. Laparoscopic repair of perforating injuries to the diaphragm represents the most frequently described therapeutic application [31–33] but there are increasing reports of laparoscopic haemostasis of minor injuries to the liver or spleen [34, 35] and therapeutic use of laparoscopy to repair limited gastrointestinal injuries . Some surgeons advocate interval washout of intra-peritoneal blood  or bile  following visceral injury to decrease ileus and peritoneal symptoms, and in two isolated reports to cell-salvage blood for autologous transfusion [37, 39]. Despite promising results in these reports, the paucity of clear trial-based data prohibits specific recommendations regarding the therapeutic use of laparoscopy in trauma victims.
Peptic ulcer perforation is the second most frequent abdominal perforation requiring surgery  and accounts for 5% of abdominal emergencies . Laparoscopic repair of a perforated peptic ulcer was first reported in 1990  but the technique has yet to be universally accepted. Two large high quality randomized studies have been performed comparing laparoscopic to open surgical repair [43, 44], involving in total 214 patients (111 in the laparoscopy group and 103 in the open group). The first study found no benefits in the laparoscopic group in terms of total hospital stay, time to resume normal diet, morbidity, reoperation or mortality rates . The second reported patients in the laparoscopic group to suffer significantly less postoperative pain and have a shorter operating time . A recent meta-analysis of these two studies concluded that there is also a trend to a decrease in septic abdominal complications with laparoscopic surgery . Further comparative studies have described a reduction in postoperative complication rates after laparoscopic surgery, but may be biased by patient selection [45–49]. Laparoscopic patients did however experience less post operative pain in the medium to long term, which may account for the shorter hospital stay, and earlier return to normal activities. Mortality may also be marginally lower in those treated laparoscopically . Laparoscopic repair has a conversion-to-open rate of 10–20% and furthermore, revision surgery is more frequently required after laparoscopic surgery than in open cases [51, 52]. There is currently no comparative evidence from a systematic review to suggest whether a primary, patch repair or fibrin sealing is the most effective method of repair when administered laparoscopically. Although the recent European Association of Endoscopic Surgeons' Consensus Statement states that laparoscopy is 'clearly superior' for patients with perforated peptic ulcer disease , we believe that more randomised control trials are required before this statement can be fully supported.
There is little role for laparoscopy in the diagnosis of acute cholecystitis. Acute cholecystitis can be diagnosed with near 100 % specificity from a combination of clinical features, ultrasound findings, and a white cell count >10 × 10/L or a CRP >100 mg/dL . Over 48,000 cholecystectomies were performed in the UK in 2004–05  and a laparoscopic approach is now generally considered to be the gold standard for this procedure. Several published studies have compared open cholecystectomy to laparoscopic cholecystectomy for acute cholecystitis [55–59]. However only two of these were randomised [55, 56]. All demonstrated a faster recovery, and a shorter hospital stay in the laparoscopic treated group.
The key question in current practice regarding laparoscopic cholecystectomy is not 'if' but 'when'? Initially a delayed approach was favoured, due to fear of complications in the immediate setting, a longer operation time and a higher conversion rate. However with greater experience and an improvement in surgical skills [60–62], recent randomised control trials have suggested this is not necessarily the case [63, 64]. A recent meta-analysis of RCT data by Lau reported reduced conversion-to-open rates (16% vs. 23%), blood loss, cost and length of hospital stay in the early group . However operation time and complication rates were comparable for the two groups and there was significantly less bile leakage after delayed laparoscopic surgery. Furthermore we feel the conversion-to-open rates to be unacceptably high in both groups. One convincing argument for immediate intervention appears to be the failure of initially conservative management, where up to one fifth of patients fail to improve and ultimately require acute surgery [66, 67]. Of the remaining 80%, 29% were subsequently readmitted with recurrent episodes before their planned surgery, adding to cost and morbidity.
In conclusion, we believe all patients with acute cholecystitis should be offered a laparoscopic cholecystectomy within 72 hours of the initial diagnosis, if economic and local workforce restrictions allow.
Appendicitis is a common diagnosis, with approximately 8% of the US population undergoing appendicectomy during their lifetime . Due to the non-specific nature of its presentation negative appendicectomies are still a common occurrence. This suggests a potential role for laparoscopy, as both a diagnostic tool that allows good visualisation of the right iliac fossa, and a route for therapeutic intervention.
The laparoscopic appendicectomy (LA) versus open appendicectomy (OA) question is one that has been extensively investigated. Over fifty randomised studies exist in the literature, and numerous systematic reviews have been undertaken [69–72]. The most recent systematic review examined 54 randomised studies with a total population of 5000 patients. Whilst heterogeneity was high between some studies, it seems wound infection rates are about half as likely in LA but a post-operative intra-abdominal collection is nearly three times more likely . This study reported a reduction of 1.1 days in hospital stay which is similar to a database review of over 40,000 cases that demonstrated a reduction of 0.8 days .
Among the many randomised studies comparing LA and OA, only a few studies have explicitly used the findings of a diagnostic laparoscopy to guide the subsequent surgery. Most are in female patients of fertile age, and document significant reductions in the numbers of negative appendicectomies, and rate of unestablished diagnoses [74, 75]. The diagnostic advantages in men and children are less clear due to the relative ease of diagnosis in these sub-groups.
In cases where a separate pathology is found, there is good evidence to suggest a normal appendix should be left in-situ . What remains unclear is whether to remove a normal appendix in patients with an otherwise unremarkable laparoscopy. Contributory to this is the reliability of the macroscopic diagnosis of appendicitis [77, 78] and the potential morbidity associated with three port sites is greater. There is not enough evidence currently to rule for or against removing the normal appendix in this scenario.
When compared to the traditional OA, laparoscopy is more expensive and it requires specific expertise . However, the EAES advise that patients with symptoms and signs of acute appendicitis should undergo a diagnostic laparoscopy and appendicectomy  and we feel that there is enough evidence to support this statement in the setting of appropriate surgical expertise.
Finally the usage of emergency laparoscopy in the paediatric arena has been limited both by local experience and modification and availability of paediatric equipment. The area where there is evidence is the emergency management of appendicitis in children. A recent meta-analysis by Aziz et al compared laparoscopic with open appendicectomy, looking at endpoints such as post-operative ileus, wound infection, post operative pyrexia, and intra-abdominal abscess formation . In addition, parameters such as operative time and length of stay were examined. The study suggested that the laparoscopic approach to appendicectomy was associated with reduced complications however higher quality randomised trials would be required to confirm this. Also this approach in children is not as widely accepted as it has been in adults.
Many acute gynaecological disorders can be diagnosed and treated via laparoscopy . In gynaecological emergencies CT scanning is rarely helpful, and usually a combination of pregnancy testing, clinical acumen and trans-vaginal (TV) and trans-abdominal (TA) US scanning are utilised to formulate a differential diagnosis. Following these conventional investigations, diagnostic laparoscopy is highly effective  and recommended .
There is a significant amount of high quality evidence regarding the role of laparoscopic surgery in ectopic pregnancy (EP). In confirmed EP, laparoscopy should be performed unless haemodynamic instability is present. It is fast, cheaper , and fertility outcome is comparable to laparotomy . Furthermore, hospitalization and sick leave times are shorter, and adhesion development reduced when compared to laparotomy . If tubal rupture has occurred, a laparoscopic salpingectomy should be performed. However, in cases of unruptured tubal pregnancy, a tube preserving operation should be considered .
Ovarian cyst torsion is an organ threatening condition that causes patients to present with acute lower abdominal pain. Initially, pregnancy must be excluded, and a TV US scan performed to exclude ovarian cyst formation. If pain fails to settle, a laparoscopy must be performed to exclude adnexal torsion . Any ovarian cysts found during laparoscopy can be treated laparoscopically . Laparoscopic surgery to repair ovarian torsion is superior to open  and is suitable even in pregnancy.
Salpingo-oophoritis commonly causes acute pelvic and lower abdominal pain, and can mimic other surgical diagnoses. Diagnostic laparoscopy can be useful to exclude other common pathologies. If the diagnosis is correct, microbiological samples can be taken to target anti-microbial therapy, and in pyosalpinx, pus can be drained laparoscopically .
In conclusion, if gynaecological disorders are the suspected cause of pain, diagnostic laparoscopy should be performed, as frequently simultaneous therapy will be possible.
Acute mesenteric ischemia is due to arterial occlusion (approximately 50% of cases), venous occlusion (15%) and non-occlusive mesenteric ischemia (35%). Clinical diagnosis is usually confirmed by the use of selective mesenteric angiography or CT scanning [89, 90]. One of the most important factors determining the prognosis of these patients is early and prompt diagnosis . Depending on the duration and extent of ischemia treatment consists of embolectomy, or laparotomy with resection of infarcted bowel segments in cases where the patient develops signs of peritonitis. The potential role of emergency laparoscopy therefore in this condition relates to it diagnostic rather than its therapeutic opportunities.
Certain benefits of diagnostic laparoscopy are suggested. These patients are frequently severely dehydrated and acidotic, with significant co-morbidity, and as such are at significant risk from contrast-dependent angiography. Conversely diagnostic laparoscopy is relatively quick and well tolerated and if necessary can be performed at the bedside in the Intensive Care Unit or Emergency room [92, 93]. At laparoscopy the small and large bowel can be visualised and other conditions causing an acute abdomen may be diagnosed enabling correct management. However, the rate of mesenteric ischemia among patients with an acute abdomen is only 1% , and laparoscopy does not guarantee correct recognition of mesenteric ischemia particularly in early cases. Nor does it allow palpation of the small bowel mesentery to detect arterial pulsation. Despite therefore a few published case reports advocating its use [95, 96], we suggest that in cases of suspected mesenteric ischemia, clinical assessment combined with conventional imaging remains the best way to assess the need for intervention.
There are many causes of acute pancreatitis but gallstones and excess alcohol consumption are by far the commonest . Similarly, there is a large spectrum of clinical presentation and thus assessment of severity is key to successful management. However, laparoscopy for diagnostic or prognostic reasons is unnecessary, as this is obtainable through clinical presentation, appropriate imaging [98, 99], and severity scores such as the Imrie score, the APACHE II score  and Ranson's Criteria .
The surgical management of acute pancreatitis is heavily dependent upon the aetiology and severity of the episode. Unless there is an urgent indication such as haemorrhage or abdominal compartment syndrome, surgery should be delayed until the patient is adequately resuscitated and there is sufficient demarcation of any necrosis that may develop [102, 103]. If acute surgical exploration is unavoidable, laparoscopic surgery has been advocated for exploration, irrigation, drainage and necrosectomy [104–106] but in the absence of any high quality evidence, the open approach remains the gold standard . If necrosis has organised, dependent upon it's type and location, three laparoscopic operative approaches have been reported: infracolic debridement , retroperitoneal debridement  and transgastric pancreatic necrosectomy . Whilst no randomized studies performed, infracolic debridement has been most favourably reported, with patient survival of 85% . Acute pancreatitis, or an acute exacerbation of chronic pancreatitis can lead to pseudocyst formation. Internal drainage is indicated 6 weeks after the first documentation of a pseudocyst and this can be performed laparoscopically. Laparoscopic pseudocyst gastrostomy, cyst jejunostomy, or cyst duodenostomy may all be indicated, depending on the size and location of the lesion .
In gallstone pancreatitis, bile duct clearance and cholecystectomy are essential to prevent disease recurrence. Thus all patients with biliary pancreatitis should undergo definitive management of their gallstones during the same hospital admission or at the very least, within two weeks [30, 112]. In mild cases, the best approach to this is laparoscopic cholecystectomy with intraoperative cholangiography, as opposed to postoperative Endoscopic Retrograde CholangioPancreatography (ERCP) . However, intraoperative laparoscopic bile duct exploration requires a significant amount of surgical expertise, and if this is not available pre-operative bile duct clearance must be ensured, either by ERCP or Magnetic Resonance CholangioPancreatography (MRCP). MRCP allows detection of choledocholithiasis with sensitivity and specificity bother over 90% , and thus in most patients a clear preoperative MRCP is enough to avert intra-operative bile duct exploration.
Finally, in patients with predicted or actual severe gallstone pancreatitis, or when there is cholangitis, jaundice, or a dilated common bile duct, surgery is contraindicated. In this situation an urgent ERCP with endoscopic sphincterotomy should be performed, followed by interval laparoscopic cholecystectomy when the patient is fitter [115–117].
Acute diverticulitis is easily diagnosed with a combination of clinical evidence, blood count, inflammatory markers and CT scanning. CT scanning is an excellent modality for the assessment of severity and perforation , and as such there is no role for diagnostic laparoscopy in this condition.
Laparoscopic resection of the diseased portion of colon should be avoided in the emergency setting, since the rate of conversion to open and rate of primary re-anastamosis depend on the presence and severity of acute inflammation. The value of elective laparoscopic surgery for diverticular disease is promising, but requires further randomized control trials to fully evaluate its potential . Laparoscopic surgery has been utilised in the setting of diverticular perforation with associated peritonitis (Hinchey Classification III and IV). In patients who are high risk, a laparoscopic approach may be used for exploration and peritoneal lavage , or the placement of an omental patch . Associated abscesses can be drained laparoscopically . However, expert centres have reported these cases, and generally it is too early to recommend laparoscopic emergency surgery in diverticular disease.
The evidence for the use of laparoscopic surgery in herniorrhaphy (inguinal, incisional and others) is excellent, but the majority of studies exclude emergency cases. It is not safe practise to simply transfer the impressive results from the elective setting and presume they support the use of laparoscopic surgery in the management of incarcerated herniae. To our knowledge there are no randomised control trials comparing open versus laparoscopic surgery for emergency herniorrhaphy. The largest case series reported by Leibl et al showed similar results to elective groin hernia repairs, but the authors were all highly experienced laparoscopic surgeons . In the absence of any comparative studies investigating open versus laparoscopic repair of incarcerated herniae, the open approach must remain the standard treatment.
Emergency surgery is a necessity when small bowel obstruction fails to resolve after a period of conservative management, or where urgent decompression of the bowel is required. Laparoscopic treatment of acute bowel obstruction was first reported in 1991 , but except for one retrospective matched-pair analysis  there are no comparative studies to assess the potential benefits of laparoscopic surgery. Furthermore, this study found a significantly higher rate of iatrogenic bowel perforation in the study group compared to conventional open surgery. Purported benefits of the laparoscopic approach include faster recovery of bowel motility and shorter hospital stay.
Many series have reported that complete laparoscopic treatment appears possible only in around 50% of cases [126–128], patients frequently being converted to open so as to deal with malignancy, bowel perforation and other problems. This has led some groups to attempt to define predictive factors for conversion; a history of two or more surgical abdominal operations, late operation (> 24 hours post-onset), and a bowel diameter exceeding 4 cm have all been reported [129, 130].
In conclusion, whilst initial diagnosis and cautious adhesiolysis can be performed at laparoscopy, this must be performed using an open access technique , and in most patients, and for most surgeons, open surgery remains the most appropriate intervention.
Whilst most patients presenting with abdominal pain will be diagnosed within a short period of assessment, there remains a cohort in whom the clinical picture remains equivocal. In these patients, depending on the severity of their symptoms, laparoscopy plays a role. If patient's symptoms and laboratory findings are relatively less concerning, then a period of observation may allow clarification of a diagnosis or simply cessation of the pain. However in those where observation is not safe, due to the severity of the clinical findings, we advocate diagnostic laparoscopy. The reasons for this are two fold. Firstly, converted-to-open cases have a similar outcome to primary laparotomy, thus minimising potential negative effects of laparoscopy . Secondly, as discussed above, many common pathologies, which may be the underlying cause of the non-specific abdominal pain, are now best managed laparoscopically.
Summary of our recommendations regarding the emergency use of laparoscopy.
Penetrating Trauma to Abdominal Wall
Diaphragmatic injury repair
Evaluation of potential diaphragmatic injuries
Haemostasis of minor visceral injury
More research required
Within 72 hours of presentation
Unclear (Males and Children)
To be left in-situ if other pathology found
Ovarian Cyst Torsion
Necrosectomy and pseudocyst drainage
Immediate Lap. Cholecystectomy.
Mild Gallstone Pancreatitis
Delayed Lap. Chole after urgent ERCP
Severe Gallstone Pancreatitis
Perhaps, in extremis where patient is too ill for laparotomy
Small Bowel Obstruction
Non-Specific Abdominal Pain
One limitation of our review is that we have not discussed the use of emergency laparoscopy in the paediatric population. This is for two reasons. Firstly the pathological spectrum in the young is significantly different to the adult population and we feel should be addressed in a separate article. Secondly, we are not a paediatric unit, and have significantly less experience in this patient demographic. We are aware however that emergency laparoscopy can be a useful tool in older children and adolescents [69, 132].
Future research must concentrate on those pathologies in which only limited evidence currently exists, and must be multi-centred, not just based in highly specialised units. This will become easier as laparoscopic expertise becomes more mainstream.
Laparoscopic surgery has improved our management of surgical emergencies and in certain conditions is now an essential part of our armamentarium. What is clear is that as surgical expertise and technology both continue to improve, so the remit for laparoscopic surgery will expand, to the benefit of our patients.
- Gadacz TR: Update on laparoscopic cholecystectomy, including a clinical pathway. Surg Clin North Am. 2000, 80 (4): 1127-1149. 10.1016/S0039-6109(05)70217-6.PubMedGoogle Scholar
- Filshie M: Laparoscopic sterilization. Semin Laparosc Surg. 1999, 6 (2): 112-117.PubMedGoogle Scholar
- Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R: Methods of hysterectomy: systematic review and meta-analysis of randomised controlled trials. Bmj. 2005, 330 (7506): 1478-10.1136/bmj.330.7506.1478.PubMed CentralPubMedGoogle Scholar
- Kienle P, Weitz J, Koch M, Buchler MW: Laparoscopic surgery for colorectal cancer. Colorectal Dis. 2006, 8 Suppl 3: 33-36. 10.1111/j.1463-1318.2006.01069.x.PubMedGoogle Scholar
- Catarci M, Gentileschi P, Papi C, Carrara A, Marrese R, Gaspari AL, Grassi GB: Evidence-based appraisal of antireflux fundoplication. Ann Surg. 2004, 239 (3): 325-337. 10.1097/01.sla.0000114225.46280.fe.PubMed CentralPubMedGoogle Scholar
- Avital S, Zundel N, Szomstein S, Rosenthal R: Laparoscopic transhiatal esophagectomy for esophageal cancer. Am J Surg. 2005, 190 (1): 69-74. 10.1016/j.amjsurg.2004.12.004.PubMedGoogle Scholar
- Berci G, Sackier JM, Paz-Partlow M: Emergency laparoscopy. Am J Surg. 1991, 161 (3): 332-335. 10.1016/0002-9610(91)90590-A.PubMedGoogle Scholar
- Valla JS, Limonne B, Valla V, Montupet P, Daoud N, Grinda A, Chavrier Y: Laparoscopic appendectomy in children: report of 465 cases. Surg Laparosc Endosc. 1991, 1 (3): 166-172.PubMedGoogle Scholar
- Goettler CE, Bard MR, Toschlog EA: Laparoscopy in trauma. Curr Surg. 2004, 61 (6): 554-559. 10.1016/j.cursur.2004.06.017.PubMedGoogle Scholar
- Kirshtein B, Bayme M, Mayer T, Lantsberg L, Avinoach E, Mizrahi S: Laparoscopic treatment of gastroduodenal perforations: comparison with conventional surgery. Surg Endosc. 2005, 19 (11): 1487-1490. 10.1007/s00464-004-2237-9.PubMedGoogle Scholar
- Mori T, Abe N, Sugiyama M, Atomi Y: Laparoscopic pancreatic surgery. J Hepatobiliary Pancreat Surg. 2005, 12 (6): 451-455. 10.1007/s00534-005-1031-y.PubMedGoogle Scholar
- Golash V, Willson PD: Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1,320 patients. Surg Endosc. 2005, 19 (7): 882-885. 10.1007/s00464-004-8866-1.PubMedGoogle Scholar
- Reiertsen O, Rosseland AR, Hoivik B, Solheim K: Laparoscopy in patients admitted for acute abdominal pain. Acta Chir Scand. 1985, 151 (6): 521-524.PubMedGoogle Scholar
- Majewski WD: Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical therapies for acute abdomen: follow-up of a prospective trial. Surg Endosc. 2005, 19 (1): 81-90. 10.1007/s00464-003-9333-0.PubMedGoogle Scholar
- Geis WP, Kim HC: Use of laparoscopy in the diagnosis and treatment of patients with surgical abdominal sepsis. Surg Endosc. 1995, 9 (2): 178-182. 10.1007/BF00191962.PubMedGoogle Scholar
- Salky BA, Edye MB: The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc. 1998, 12 (7): 911-914. 10.1007/s004649900744.PubMedGoogle Scholar
- Renz BM, Feliciano DV: Unnecessary laparotomies for trauma: a prospective study of morbidity. J Trauma. 1995, 38 (3): 350-356.PubMedGoogle Scholar
- Renz BM, Feliciano DV: The length of hospital stay after an unnecessary laparotomy for trauma: a prospective study. J Trauma. 1996, 40 (2): 187-190.PubMedGoogle Scholar
- Haan J, Kole K, Brunetti A, Kramer M, Scalea TM: Nontherapeutic laparotomies revisited. Am Surg. 2003, 69 (7): 562-565.PubMedGoogle Scholar
- Carnevale N, Baron N, Delany HM: Peritoneoscopy as an aid in the diagnosis of abdominal trauma: a preliminary report. J Trauma. 1977, 17 (8): 634-641.PubMedGoogle Scholar
- Gazzaniga AB, Stanton WW, Bartlett RH: Laparoscopy in the diagnosis of blunt and penetrating injuries to the abdomen. Am J Surg. 1976, 131 (3): 315-318. 10.1016/0002-9610(76)90124-0.PubMedGoogle Scholar
- Cuschieri A, Hennessy TP, Stephens RB, Berci G: Diagnosis of significant abdominal trauma after road traffic accidents: preliminary results of a multicentre clinical trial comparing minilaparoscopy with peritoneal lavage. Ann R Coll Surg Engl. 1988, 70 (3): 153-155.PubMed CentralPubMedGoogle Scholar
- Leppaniemi A, Haapiainen R: Diagnostic laparoscopy in abdominal stab wounds: a prospective, randomized study. J Trauma. 2003, 55 (4): 636-645.PubMedGoogle Scholar
- Zantut LF, Ivatury RR, Smith RS, Kawahara NT, Porter JM, Fry WR, Poggetti R, Birolini D, Organ CHJ: Diagnostic and therapeutic laparoscopy for penetrating abdominal trauma: a multicenter experience. J Trauma. 1997, 42 (5): 825-9; discussion 829-31.PubMedGoogle Scholar
- Guth AA, Pachter HL: Laparoscopy for penetrating thoracoabdominal trauma: pitfalls and promises. Jsls. 1998, 2 (2): 123-127.PubMed CentralPubMedGoogle Scholar
- Ivatury RR, Simon RJ, Weksler B, Bayard V, Stahl WM: Laparoscopy in the evaluation of the intrathoracic abdomen after penetrating injury. J Trauma. 1992, 33 (1): 101-8; discussion 109.PubMedGoogle Scholar
- Sosa JL, Baker M, Puente I, Sims D, Sleeman D, Ginzburg E, Martin L: Negative laparotomy in abdominal gunshot wounds: potential impact of laparoscopy. J Trauma. 1995, 38 (2): 194-197.PubMedGoogle Scholar
- Marks JM, Youngelman DF, Berk T: Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg Endosc. 1997, 11 (3): 272-276. 10.1007/s004649900342.PubMedGoogle Scholar
- Shah R, Sabanathan S, Mearns AJ, Choudhury AK: Traumatic rupture of diaphragm. Ann Thorac Surg. 1995, 60 (5): 1444-1449. 10.1016/0003-4975(95)00629-Y.PubMedGoogle Scholar
- Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P, Navez B, Saad S, Neugebauer EA: Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2006, 20 (1): 14-29. 10.1007/s00464-005-0564-0.PubMedGoogle Scholar
- Smith CH, Novick TL, Jacobs DG, Thomason MH: Laparoscopic repair of a ruptured diaphragm secondary to blunt trauma. Surg Endosc. 2000, 14 (5): 501-502.PubMedGoogle Scholar
- Smith RS, Fry WR, Morabito DJ, Koehler RH, Organ CHJ: Therapeutic laparoscopy in trauma. Am J Surg. 1995, 170 (6): 632-6; discussion 636-7. 10.1016/S0002-9610(99)80031-2.PubMedGoogle Scholar
- Matthews BD, Bui H, Harold KL, Kercher KW, Adrales G, Park A, Sing RF, Heniford BT: Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc. 2003, 17 (2): 254-258. 10.1007/s00464-002-8831-9.PubMedGoogle Scholar
- Chen RJ, Fang JF, Lin BC, Hsu YB, Kao JL, Kao YC, Chen MF: Selective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma. 1998, 44 (4): 691-695.PubMedGoogle Scholar
- Chol YB, Lim KS: Therapeutic laparoscopy for abdominal trauma. Surg Endosc. 2003, 17 (3): 421-427. 10.1007/s00464-002-8808-8.PubMedGoogle Scholar
- Mathonnet M, Peyrou P, Gainant A, Bouvier S, Cubertafond P: Role of laparoscopy in blunt perforations of the small bowel. Surg Endosc. 2003, 17 (4): 641-645. 10.1007/s00464-002-9049-6.PubMedGoogle Scholar
- Smith RS, Meister RK, Tsoi EK, Bohman HR: Laparoscopically guided blood salvage and autotransfusion in splenic trauma: a case report. J Trauma. 1993, 34 (2): 313-314.PubMedGoogle Scholar
- Carrillo EH, Reed DNJ, Gordon L, Spain DA, Richardson JD: Delayed laparoscopy facilitates the management of biliary peritonitis in patients with complex liver injuries. Surg Endosc. 2001, 15 (3): 319-322. 10.1007/s004640000300.PubMedGoogle Scholar
- Collin GR, Bianchi JD: Laparoscopic examination of the traumatized spleen with blood salvage for autotransfusion. Am Surg. 1997, 63 (6): 478-480.PubMedGoogle Scholar
- Sanabria AE, Morales CH, Villegas MI: Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev. 2005, CD004778-Google Scholar
- Paimela H, Oksala NK, Kivilaakso E: Surgery for peptic ulcer today. A study on the incidence, methods and mortality in surgery for peptic ulcer in Finland between 1987 and 1999. Dig Surg. 2004, 21 (3): 185-191. 10.1159/000079654.PubMedGoogle Scholar
- Mouret P, Francois Y, Vignal J, Barth X, Lombard-Platet R: Laparoscopic treatment of perforated peptic ulcer. Br J Surg. 1990, 77 (9): 1006-PubMedGoogle Scholar
- Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, Chung SC, Li AK: A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg. 1996, 224 (2): 131-138. 10.1097/00000658-199608000-00004.PubMed CentralPubMedGoogle Scholar
- Siu WT, Leong HT, Law BK, Chau CH, Li AC, Fung KH, Tai YP, Li MK: Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg. 2002, 235 (3): 313-319. 10.1097/00000658-200203000-00001.PubMed CentralPubMedGoogle Scholar
- Seelig MH, Seelig SK, Behr C, Schonleben K: Comparison between open and laparoscopic technique in the management of perforated gastroduodenal ulcers. J Clin Gastroenterol. 2003, 37 (3): 226-229. 10.1097/00004836-200309000-00007.PubMedGoogle Scholar
- Mehendale VG, Shenoy SN, Joshi AM, Chaudhari NC: Laparoscopic versus open surgical closure of perforated duodenal ulcers: a comparative study. Indian J Gastroenterol. 2002, 21 (6): 222-224.PubMedGoogle Scholar
- Robertson GS, Wemyss-Holden SA, Maddern GJ: Laparoscopic repair of perforated peptic ulcers. The role of laparoscopy in generalised peritonitis. Ann R Coll Surg Engl. 2000, 82 (1): 6-10.PubMed CentralPubMedGoogle Scholar
- Lam CM, Yuen AW, Chik B, Wai AC, Fan ST: Laparoscopic surgery for common surgical emergencies: a population-based study. Surg Endosc. 2005, 19 (6): 774-779. 10.1007/s00464-004-9158-5.PubMedGoogle Scholar
- Tsumura H, Ichikawa T, Hiyama E, Murakami Y: Laparoscopic and open approach in perforated peptic ulcer. Hepatogastroenterology. 2004, 51 (59): 1536-1539.PubMedGoogle Scholar
- Lau H: Laparoscopic repair of perforated peptic ulcer: a meta-analysis. Surg Endosc. 2004, 18 (7): 1013-1021. 10.1007/s00464-003-8266-y.PubMedGoogle Scholar
- Cougard P, Barrat C, Gayral F, Cadiere GB, Meyer C, Fagniez L, Bouillot JL, Boissel P, Samama G, Champault G: [Laparoscopic treatment of perforated duodenal ulcers. Results of a retrospective multicentric study. French Society of Laparoscopic Surgery]. Ann Chir. 2000, 125 (8): 726-731. 10.1016/S0003-3944(00)00267-4.PubMedGoogle Scholar
- Druart ML, Van Hee R, Etienne J, Cadiere GB, Gigot JF, Legrand M, Limbosch JM, Navez B, Tugilimana M, Van Vyve E, Vereecken L, Wibin E, Yvergneaux JP: Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial. Surg Endosc. 1997, 11 (10): 1017-1020. 10.1007/s004649900515.PubMedGoogle Scholar
- Trowbridge RL, Rutkowski NK, Shojania KG: Does this patient have acute cholecystitis?. Jama. 2003, 289 (1): 80-86. 10.1001/jama.289.1.80.PubMedGoogle Scholar
- http://www.hesonline.nhs.uk/Ease/servlet/ContentServer?siteID=1937&categoryID=537: Hospital Episode Statistics. 2004Google Scholar
- Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L: Impact of choice of therapeutic strategy for acute cholecystitis on patient's health-related quality of life. Results of a randomized, controlled clinical trial. Dig Surg. 2004, 21 (5-6): 359-362. 10.1159/000081352.PubMedGoogle Scholar
- Kiviluoto T, Siren J, Luukkonen P, Kivilaakso E: Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. Lancet. 1998, 351 (9099): 321-325. 10.1016/S0140-6736(97)08447-X.PubMedGoogle Scholar
- Glavic Z, Begic L, Simlesa D, Rukavina A: Treatment of acute cholecystitis. A comparison of open vs laparoscopic cholecystectomy. Surg Endosc. 2001, 15 (4): 398-401. 10.1007/s004640000333.PubMedGoogle Scholar
- Kum CK, Goh PM, Isaac JR, Tekant Y, Ngoi SS: Laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 1994, 81 (11): 1651-1654.PubMedGoogle Scholar
- Lam CM, Yuen AW, Chik B, Wai AC, Fan ST: Variation in the use of laparoscopic cholecystectomy for acute cholecystitis: a population-based study. Arch Surg. 2005, 140 (11): 1084-1088. 10.1001/archsurg.140.11.1084.PubMedGoogle Scholar
- Kolla SB, Aggarwal S, Kumar A, Kumar R, Chumber S, Parshad R, Seenu V: Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial. Surg Endosc. 2004, 18 (9): 1323-1327. 10.1007/s00464-003-9230-6.PubMedGoogle Scholar
- Greenwald JA, McMullen HF, Coppa GF, Newman RM: Standardization of surgeon-controlled variables: impact on outcome in patients with acute cholecystitis. Ann Surg. 2000, 231 (3): 339-344. 10.1097/00000658-200003000-00006.PubMed CentralPubMedGoogle Scholar
- Navez B, Mutter D, Russier Y, Vix M, Jamali F, Lipski D, Cambier E, Guiot P, Leroy J, Marescaux J: Safety of laparoscopic approach for acute cholecystitis: retrospective study of 609 cases. World J Surg. 2001, 25 (10): 1352-1356. 10.1007/s00268-001-0122-4.PubMedGoogle Scholar
- Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L: Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial. J Gastrointest Surg. 2003, 7 (5): 642-645. 10.1016/S1091-255X(03)00065-9.PubMedGoogle Scholar
- Serralta AS, Bueno JL, Planells MR, Rodero DR: Prospective evaluation of emergency versus delayed laparoscopic cholecystectomy for early cholecystitis. Surg Laparosc Endosc Percutan Tech. 2003, 13 (2): 71-75. 10.1097/00129689-200304000-00002.PubMedGoogle Scholar
- Lau H, Lo CY, Patil NG, Yuen WK: Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis: a metaanalysis. Surg Endosc. 2006, 20 (1): 82-87. 10.1007/s00464-005-0100-2.PubMedGoogle Scholar
- Mercer SJ, Knight JS, Toh SK, Walters AM, Sadek SA, Somers SS: Implementation of a specialist-led service for the management of acute gallstone disease. Br J Surg. 2004, 91 (4): 504-508. 10.1002/bjs.4458.PubMedGoogle Scholar
- Senapati PS, Bhattarcharya D, Harinath G, Ammori BJ: A survey of the timing and approach to the surgical management of cholelithiasis in patients with acute biliary pancreatitis and acute cholecystitis in the UK. Ann R Coll Surg Engl. 2003, 85 (5): 306-312. 10.1308/003588403769162404.PubMed CentralPubMedGoogle Scholar
- Addiss DG, Shaffer N, Fowler BS, Tauxe RV: The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990, 132 (5): 910-925.PubMedGoogle Scholar
- Aziz O, Athanasiou T, Tekkis PP, Purkayastha S, Haddow J, Malinovski V, Paraskeva P, Darzi A: Laparoscopic versus open appendectomy in children: a meta-analysis. Ann Surg. 2006, 243 (1): 17-27. 10.1097/01.sla.0000193602.74417.14.PubMed CentralPubMedGoogle Scholar
- Sauerland S, Lefering R, Neugebauer EA: Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2004, CD001546-Google Scholar
- Fingerhut A, Millat B, Borrie F: Laparoscopic versus open appendectomy: time to decide. World J Surg. 1999, 23 (8): 835-845. 10.1007/s002689900587.PubMedGoogle Scholar
- Garbutt JM, Soper NJ, Shannon WD, Botero A, Littenberg B: Meta-analysis of randomized controlled trials comparing laparoscopic and open appendectomy. Surg Laparosc Endosc. 1999, 9 (1): 17-26. 10.1097/00019509-199901000-00004.PubMedGoogle Scholar
- Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, Pietrobon R: Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg. 2004, 239 (1): 43-52. 10.1097/01.sla.0000103071.35986.c1.PubMed CentralPubMedGoogle Scholar
- Larsson PG, Henriksson G, Olsson M, Boris J, Stroberg P, Tronstad SE, Skullman S: Laparoscopy reduces unnecessary appendicectomies and improves diagnosis in fertile women. A randomized study. Surg Endosc. 2001, 15 (2): 200-202. 10.1007/s004640000255.PubMedGoogle Scholar
- Jadallah FA, Abdul-Ghani AA, Tibblin S: Diagnostic laparoscopy reduces unnecessary appendicectomy in fertile women. Eur J Surg. 1994, 160 (1): 41-45.PubMedGoogle Scholar
- van den Broek WT, Bijnen AB, de Ruiter P, Gouma DJ: A normal appendix found during diagnostic laparoscopy should not be removed. Br J Surg. 2001, 88 (2): 251-254. 10.1046/j.1365-2168.2001.01668.x.PubMedGoogle Scholar
- Teh SH, O'Ceallaigh S, McKeon JG, O'Donohoe MK, Tanner WA, Keane FB: Should an appendix that looks 'normal' be removed at diagnostic laparoscopy for acute right iliac fossa pain?. Eur J Surg. 2000, 166 (5): 388-389. 10.1080/110241500750008943.PubMedGoogle Scholar
- Grunewald B, Keating J: Should the 'normal' appendix be removed at operation for appendicitis?. J R Coll Surg Edinb. 1993, 38 (3): 158-160.PubMedGoogle Scholar
- Magos AL, Baumann R, Turnbull AC: Managing gynaecological emergencies with laparoscopy. Bmj. 1989, 299 (6695): 371-374.PubMed CentralPubMedGoogle Scholar
- Mikkelsen AL, Felding C: Laparoscopy and ultrasound examination in women with acute pelvic pain. Gynecol Obstet Invest. 1990, 30 (3): 162-164.PubMedGoogle Scholar
- Taylor EW, Kennedy CA, Dunham RH, Bloch JH: Diagnostic laparoscopy in women with acute abdominal pain. Surg Laparosc Endosc. 1995, 5 (2): 125-128.PubMedGoogle Scholar
- Gray DT, Thorburn J, Lundorff P, Strandell A, Lindblom B: A cost-effectiveness study of a randomised trial of laparoscopy versus laparotomy for ectopic pregnancy. Lancet. 1995, 345 (8958): 1139-1143. 10.1016/S0140-6736(95)90977-X.PubMedGoogle Scholar
- Lundorff P, Thorburn J, Lindblom B: Fertility outcome after conservative surgical treatment of ectopic pregnancy evaluated in a randomized trial. Fertil Steril. 1992, 57 (5): 998-1002.PubMedGoogle Scholar
- Lundorff P, Thorburn J, Hahlin M, Kallfelt B, Lindblom B: Laparoscopic surgery in ectopic pregnancy. A randomized trial versus laparotomy. Acta Obstet Gynecol Scand. 1991, 70 (4-5): 343-348.PubMedGoogle Scholar
- Vermesh M, Silva PD, Rosen GF, Stein AL, Fossum GT, Sauer MV: Management of unruptured ectopic gestation by linear salpingostomy: a prospective, randomized clinical trial of laparoscopy versus laparotomy. Obstet Gynecol. 1989, 73 (3 Pt 1): 400-404.PubMedGoogle Scholar
- Mais V, Ajossa S, Piras B, Marongiu D, Guerriero S, Melis GB: Treatment of nonendometriotic benign adnexal cysts: a randomized comparison of laparoscopy and laparotomy. Obstet Gynecol. 1995, 86 (5): 770-774. 10.1016/0029-7844(95)00261-O.PubMedGoogle Scholar
- Yuen PM, Yu KM, Yip SK, Lau WC, Rogers MS, Chang A: A randomized prospective study of laparoscopy and laparotomy in the management of benign ovarian masses. Am J Obstet Gynecol. 1997, 177 (1): 109-114. 10.1016/S0002-9378(97)70447-2.PubMedGoogle Scholar
- Teisala K, Heinonen PK, Punnonen R: Laparoscopic diagnosis and treatment of acute pyosalpinx. J Reprod Med. 1990, 35 (1): 19-21.PubMedGoogle Scholar
- Klein HM, Lensing R, Klosterhalfen B, Tons C, Gunther RW: Diagnostic imaging of mesenteric infarction. Radiology. 1995, 197 (1): 79-82.PubMedGoogle Scholar
- Nordback I, Sisto T: Ultrasonography and computed tomography in the diagnosis of portomesenteric vein thrombosis. Int Surg. 1991, 76 (3): 179-182.PubMedGoogle Scholar
- Zamir G, Reissman P: Diagnostic laparoscopy in mesenteric ischemia. Surg Endosc. 1998, 12 (5): 390-393. 10.1007/s004649900688.PubMedGoogle Scholar
- Iberti TJ, Salky BA, Onofrey D: Use of bedside laparoscopy to identify intestinal ischemia in postoperative cases of aortic reconstruction. Surgery. 1989, 105 (5): 686-689.PubMedGoogle Scholar
- Sackier J: Diagnostic laparoscopy in nonmalignant disease. Surg Clin North Am. 1992, 72 (5): 1033-1043.PubMedGoogle Scholar
- Irvin TT: Abdominal pain: a surgical audit of 1190 emergency admissions. Br J Surg. 1989, 76 (11): 1121-1125.PubMedGoogle Scholar
- Cho YP, Jung SM, Han MS, Jang HJ, Kim JS, Kim YH, Lee SG: Role of diagnostic laparoscopy in managing acute mesenteric venous thrombosis. Surg Laparosc Endosc Percutan Tech. 2003, 13 (3): 215-217. 10.1097/00129689-200306000-00015.PubMedGoogle Scholar
- Chong AK, So JB, Ti TK: Use of laparoscopy in the management of mesenteric venous thrombosis. Surg Endosc. 2001, 15 (9): 1042-PubMedGoogle Scholar
- Ranson JH: Etiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol. 1982, 77 (9): 633-638.PubMedGoogle Scholar
- Kwon RS, Brugge WR: New advances in pancreatic imaging. Curr Opin Gastroenterol. 2005, 21 (5): 561-567. 10.1097/01.mog.0000174223.74783.1b.PubMedGoogle Scholar
- Shankar S, vanSonnenberg E, Silverman SG, Tuncali K, Banks PA: Imaging and percutaneous management of acute complicated pancreatitis. Cardiovasc Intervent Radiol. 2004, 27 (6): 567-580. 10.1007/s00270-004-0037-1.PubMedGoogle Scholar
- Chatzicostas C, Roussomoustakaki M, Vlachonikolis IG, Notas G, Mouzas I, Samonakis D, Kouroumalis EA: Comparison of Ranson, APACHE II and APACHE III scoring systems in acute pancreatitis. Pancreas. 2002, 25 (4): 331-335. 10.1097/00006676-200211000-00002.PubMedGoogle Scholar
- Ranson JH, Pasternack BS: Statistical methods for quantifying the severity of clinical acute pancreatitis. J Surg Res. 1977, 22 (2): 79-91. 10.1016/0022-4804(77)90045-2.PubMedGoogle Scholar
- Kelly TR, Wagner DS: Gallstone pancreatitis: a prospective randomized trial of the timing of surgery. Surgery. 1988, 104 (4): 600-605.PubMedGoogle Scholar
- Mier J, Leon EL, Castillo A, Robledo F, Blanco R: Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg. 1997, 173 (2): 71-75. 10.1016/S0002-9610(96)00425-4.PubMedGoogle Scholar
- Hamad GG, Broderick TJ: Laparoscopic pancreatic necrosectomy. J Laparoendosc Adv Surg Tech A. 2000, 10 (2): 115-118.PubMedGoogle Scholar
- Zhu JF, Fan XH, Zhang XH: Laparoscopic treatment of severe acute pancreatitis. Surg Endosc. 2001, 15 (2): 146-148. 10.1007/s004640000349.PubMedGoogle Scholar
- Pamoukian VN, Gagner M: Laparoscopic necrosectomy for acute necrotizing pancreatitis. J Hepatobiliary Pancreat Surg. 2001, 8 (3): 221-223. 10.1007/s005340170020.PubMedGoogle Scholar
- Nathens AB, Curtis JR, Beale RJ, Cook DJ, Moreno RP, Romand JA, Skerrett SJ, Stapleton RD, Ware LB, Waldmann CS: Management of the critically ill patient with severe acute pancreatitis. Crit Care Med. 2004, 32 (12): 2524-2536. 10.1097/01.CCM.0000148222.09869.92.PubMedGoogle Scholar
- Adamson GD, Cuschieri A: Multimedia article. Laparoscopic infracolic necrosectomy for infected pancreatic necrosis. Surg Endosc. 2003, 17 (10): 1675-10.1007/s00464-003-0041-6.PubMedGoogle Scholar
- Horvath KD, Kao LS, Wherry KL, Pellegrini CA, Sinanan MN: A technique for laparoscopic-assisted percutaneous drainage of infected pancreatic necrosis and pancreatic abscess. Surg Endosc. 2001, 15 (10): 1221-1225. 10.1007/s004640080166.PubMedGoogle Scholar
- Ammori BJ: Laparoscopic transgastric pancreatic necrosectomy for infected pancreatic necrosis. Surg Endosc. 2002, 16 (9): 1362-10.1007/s00464-001-4145-6.Google Scholar
- Cuschieri SA, Jakimowicz JJ, Stultiens G: Laparoscopic infracolic approach for complications of acute pancreatitis. Semin Laparosc Surg. 1998, 5 (3): 189-194.PubMedGoogle Scholar
- UK guidelines for the management of acute pancreatitis. Gut. 2005, 54 Suppl 3: iii1-9. 10.1136/gut.2004.057026.Google Scholar
- Rhodes M, Sussman L, Cohen L, Lewis MP: Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet. 1998, 351 (9097): 159-161. 10.1016/S0140-6736(97)09175-7.PubMedGoogle Scholar
- Kaltenthaler E, Vergel YB, Chilcott J, Thomas S, Blakeborough T, Walters SJ, Bouchier H: A systematic review and economic evaluation of magnetic resonance cholangiopancreatography compared with diagnostic endoscopic retrograde cholangiopancreatography. Health Technol Assess. 2004, 8 (10): iii, 1-89.Google Scholar
- Ayub K, Imada R, Slavin J: Endoscopic retrograde cholangiopancreatography in gallstone-associated acute pancreatitis. Cochrane Database Syst Rev. 2004, CD003630-Google Scholar
- Neoptolemos JP, Carr-Locke DL, London NJ, Bailey IA, James D, Fossard DP: Controlled trial of urgent endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy versus conservative treatment for acute pancreatitis due to gallstones. Lancet. 1988, 2 (8618): 979-983. 10.1016/S0140-6736(88)90740-4.PubMedGoogle Scholar
- Fan ST, Lai EC, Mok FP, Lo CM, Zheng SS, Wong J: Early treatment of acute biliary pancreatitis by endoscopic papillotomy. N Engl J Med. 1993, 328 (4): 228-232. 10.1056/NEJM199301283280402.PubMedGoogle Scholar
- Buckley O, Geoghegan T, O'Riordain DS, Lyburn ID, Torreggiani WC: Computed tomography in the imaging of colonic diverticulitis. Clin Radiol. 2004, 59 (11): 977-983. 10.1016/j.crad.2004.05.003.PubMedGoogle Scholar
- Purkayastha S, Constantinides VA, Tekkis PP, Athanasiou T, Aziz O, Tilney H, Darzi AW, Heriot AG: Laparoscopic vs. open surgery for diverticular disease: a meta-analysis of nonrandomized studies. Dis Colon Rectum. 2006, 49 (4): 446-463. 10.1007/s10350-005-0316-1.PubMedGoogle Scholar
- Faranda C, Barrat C, Catheline JM, Champault GG: Two-stage laparoscopic management of generalized peritonitis due to perforated sigmoid diverticula: eighteen cases. Surg Laparosc Endosc Percutan Tech. 2000, 10 (3): 135-8; discussion 139-41. 10.1097/00019509-200006000-00007.PubMedGoogle Scholar
- Franklin MEJ, Dorman JP, Jacobs M, Plasencia G: Is laparoscopic surgery applicable to complicated colonic diverticular disease?. Surg Endosc. 1997, 11 (10): 1021-1025. 10.1007/s004649900516.PubMedGoogle Scholar
- Da Rold AR, Guerriero S, Fiamingo P, Pariset S, Veroux M, Pilon F, Tosato S, Ruffolo C, Tedeschi U: Laparoscopic colorrhaphy, irrigation and drainage in the treatment of complicated acute diverticulitis: initial experience. Chir Ital. 2004, 56 (1): 95-98.PubMedGoogle Scholar
- Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R: Laparoscopic transperitoneal hernia repair of incarcerated hernias: Is it feasible? Results of a prospective study. Surg Endosc. 2001, 15 (10): 1179-1183.PubMedGoogle Scholar
- Bastug DF, Trammell SW, Boland JP, Mantz EP, Tiley EH: Laparoscopic adhesiolysis for small bowel obstruction. Surg Laparosc Endosc. 1991, 1 (4): 259-262.PubMedGoogle Scholar
- Wullstein C, Gross E: Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction. Br J Surg. 2003, 90 (9): 1147-1151. 10.1002/bjs.4177.PubMedGoogle Scholar
- Chosidow D, Johanet H, Montariol T, Kielt R, Manceau C, Marmuse JP, Benhamou G: Laparoscopy for acute small-bowel obstruction secondary to adhesions. J Laparoendosc Adv Surg Tech A. 2000, 10 (3): 155-159.PubMedGoogle Scholar
- Leon EL, Metzger A, Tsiotos GG, Schlinkert RT, Sarr MG: Laparoscopic management of small bowel obstruction: indications and outcome. J Gastrointest Surg. 1998, 2 (2): 132-140. 10.1016/S1091-255X(98)80003-6.PubMedGoogle Scholar
- Agresta F, Piazza A, Michelet I, Bedin N, Sartori CA: Small bowel obstruction. Laparoscopic approach. Surg Endosc. 2000, 14 (2): 154-156. 10.1007/s004649900089.PubMedGoogle Scholar
- Levard H, Boudet MJ, Msika S, Molkhou JM, Hay JM, Laborde Y, Gillet M, Fingerhut A: Laparoscopic treatment of acute small bowel obstruction: a multicentre retrospective study. ANZ J Surg. 2001, 71 (11): 641-646. 10.1046/j.0004-8682.2001.02222.x.PubMedGoogle Scholar
- Suter M, Zermatten P, Halkic N, Martinet O, Bettschart V: Laparoscopic management of mechanical small bowel obstruction: are there predictors of success or failure?. Surg Endosc. 2000, 14 (5): 478-483. 10.1007/s004640000104.PubMedGoogle Scholar
- Chung RS, Diaz JJ, Chari V: Efficacy of routine laparoscopy for the acute abdomen. Surg Endosc. 1998, 12 (3): 219-222. 10.1007/s004649900638.PubMedGoogle Scholar
- Feliz A, Shultz B, McKenna C, Gaines BA: Diagnostic and therapeutic laparoscopy in pediatric abdominal trauma. J Pediatr Surg. 2006, 41 (1): 72-77. 10.1016/j.jpedsurg.2005.10.008.PubMedGoogle Scholar
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