From: Minimally invasive surgery in emergency surgery: a WSES survey
Appendicitis, Cholecystitis (Grade 1) | Perforation of Gastric and Duodenal Ulcer, Bowel Obstruction due to peritoneal adhesions (Grade 2) | Colon resection for Hinchey 3 and 4 Acute Diverticulitis (Grade 3) | Dehiscence of intestinal, colorectal, gastrointestinal anastomosis; bile leak after cholecystectomy, bile leak after liver resection, postoperative hemoperitoneum, postoperative intestinal obstruction (Grade 4) | |
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Median (IQR) | Median (IQR) | Median (IQR) | Median (IQR) | |
Limiting factors | ||||
Your own surgical skills | 1 (0–4) | 2 (0–3) | 2 (1–4) | 2 (1–4) |
Nursing skills | 1 (0–3) | 1 (0–3) | 1 (0–3) | 1 (0–3) |
Night-time operation | 1 (0–3) | 2 (0–3) | 2 (1–4) | 2 (1–4) |
Technology availability | 2 (0–4) | 2 (0–4) | 2 (0–4) | 2 (0–4) |
Estimated prolonged surgical duration | 1 (0–3) | 2 (1–3) | 2 (1–4) | 3 (1–4) |
Patient-related limiting factors | ||||
Shock condition | 3 (1–5) | 4 (2–5) | 4 (3–5) | 4 (3–5) |
Age | 1 (0–3) | 1 (0–3) | 2 (0–3) | 2 (0–3) |
ASA score | 2 (1–3) | 2 (1–4) | 3 (1–4) | 3 (1–4) |
APACHE score | 2 (1–3) | 2 (1–4) | 3 (1–4) | 3 (1–4) |
P-POSSUM | 2 (1–3) | 2 (1–3) | 2 (1–4) | 3 (1–4) |
ACSNSQUIP Surgical Risk | 2 (1–3) | 2 (1–3) | 2 (1–4) | 3 (1–4) |
Previous abdominal surgery | 2 (1–4) | 3 (1–4) | 3 (2–4) | 3 (2–4) |
Intraoperative limiting factors | ||||
Duration of the surgical procedure | 2 (1–3) | 2 (1–4) | 3 (1–4) | 3 (1–4) |
Bleeding | 3 (2–4) | 3 (1–4) | 3 (2–4) | 3 (1–4) |
Unclear/suboptimal visualization of anatomical structures | 4 (2–5) | 4 (2–5) | 4 (2–5) | 4 (3–5) |
Bowel perforation | 3 (1–4) | 3 (1–4) | 3 (2–4) | 3 (2–4) |
Intraoperative clinical deterioration | 4 (2–5) | 4 (2–5) | 4 (3–5) | 4 (3–5) |