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Strobel, O. L., Wachter, D., Werner, J., Uhl, W., Müller, C.A., Khalik, M., Geiss, H.K., Fiehn, W., Büchler, M.W., Gutt, C.N. Effect of a pneumoperitoneum on systemic cytokine levels, bacterial translocation, and organ complications in a rat model of severe acute pancreatitis with infected necrosis. Surg Endosc, 20. 1897-903. 2006.

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Article

Emergency Laparoscopic Surgery in High-risk Patients

1Division of General Surgery, Department of Surgery, Galmarini Hospital, Tradate, Italy


Global Journal of Surgery. 2014, Vol. 2 No. 3, 49-51
DOI: 10.12691/js-2-3-5
Copyright © 2014 Science and Education Publishing

Cite this paper:
Francesco Roscio, Francesca Combi, Ildo Scandroglio. Emergency Laparoscopic Surgery in High-risk Patients. Global Journal of Surgery. 2014; 2(3):49-51. doi: 10.12691/js-2-3-5.

Correspondence to: Francesco  Roscio, Division of General Surgery, Department of Surgery, Galmarini Hospital, Tradate, Italy. Email: francesco_roscio@yahoo.it

Abstract

Most of the abdominal surgical emergencies can be effectively treated by laparoscopic techniques. Nowadays, the number of high-risk patients is growing, mainly due to the increased life expectancy of the population. This condition is often a contraindication to minimally invasive surgery. This review article provides a clarification of the concept of high-risk patient and his eligibility to laparoscopic surgery, even in abdominal emergencies. Literature review of these topics was performed in PubMed/ MEDLINE up to September 2014. Our hypothesis is that laparoscopic surgery in urgency is not contraindicated for the high-risk patient, which may indeed benefit from it.

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