Key result
Completed laparoscopic surgery (n=261) for major abdominal emergencies was associated with significantly lower rates of surgical site infection, respiratory complications, and mortality versus open.
Why the study?
Minimally invasive approaches are routinely utilized in elective abdominal surgeries but are not as widely used in major abdominal emergencies, prompting an evaluation of the role of laparoscopy in major abdominal emergencies at a tertiary university hospital.
Does laparoscopy improve perioperative outcomes and reduce hospital stay compared to open surgery in patients undergoing emergency major abdominal surgery?
Population
1740 patients undergoing emergency major abdominal surgery
Comparison
Emergency laparotomy vs completed laparoscopic surgery vs laparoscopy converted to open
Design
Retrospective cohort analysis
Authors
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Low laparoscopic completion rates in peritonitis caution against routine adoption; leaves open optimal approach in prospective trials.
Cohort (n=1,740)
No
Does laparoscopy improve perioperative outcomes and reduce hospital stay compared to open surgery in patients undergoing emergency major abdominal surgery?
Laparoscopy is feasible and effective for selected patients in emergency abdominal surgery, offering quicker recovery and fewer complications than open surgery.
Elnabil-Mortada et al. (2023) conducted a cohort in Major abdominal emergencies (n=1,740). Laparoscopic surgery vs. Emergency laparotomy (open surgery) was evaluated on Perioperative outcomes, hospital stay, and mortality. Completed laparoscopic surgery (n=261) for major abdominal emergencies was associated with significantly lower rates of surgical site infection, respiratory complications, and mortality versus open.
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