| Autor: |
Jimenez Rodriguez RM; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Segura-Sampedro JJ; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Flores-Cortés M; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., López-Bernal F; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Martín C; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Diaz VP; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Ciuro FP; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain., Ruiz JP; Rosa M Jimenez Rodriguez, Mercedes Flores-Cortés, Francisco López-Bernal, Cristobalina Martín, Verónica Pino Diaz, Felipe Pareja Ciuro, Javier Padillo Ruiz, Department of Surgery, Hospital Universitario Virgen del Rocío, 41013 Sevilla, Spain. |
| Abstrakt: |
This review focuses on the laparoscopic approach to gastrointestinal emergencies and its more recent indications. Laparoscopic surgery has a specific place in elective procedures, but that does not apply in emergency situations. In specific emergencies, there is a huge range of indications and different techniques to apply, and not all of them are equally settle. We consider that the most controversial points in minimally invasive procedures are indications in emergency situations due to technical difficulties. Some pathologies, such as oesophageal emergencies, obstruction due to colon cancer, abdominal hernias or incarcerated postsurgical hernias, are nearly always resolved by conventional surgery, that is, an open approach due to limited intraabdominal cavity space or due to the vulnerability of the bowel. These technical problems have been solved in many diseases, such as for perforated peptic ulcer or acute appendectomy for which a laparoscopic approach has become a well-known and globally supported procedure. On the other hand, endoscopic procedures have acquired further indications, relegating surgical solutions to a second place; this happens in cholangitis or pancreatic abscess drainage. This endoluminal approach avoids the need for laparoscopic development in these diseases. Nevertheless, new instruments and new technologies could extend the laparoscopic approach to a broader array of potentials procedures. There remains, however, a long way to go. |
