Background
Methods
Laparoscopic Column including: CO2 insufflator, HD camera, light source, HD monitor | |
Optic 10 mm | |
N° 2 laparoscopic forceps | |
Ultrasound dissector with disposable device | |
N° 3 Trocars (10 mm, 5 mm, 5 mm) | |
Surgical drapes | |
Basic Surgical Kit |
Results
ICU patients with AMI (1st January 2006–31 December 2015) | |
---|---|
Type of AMI | N° of cases |
EAMI | 6 |
TAMI | 3 |
VAMI | 1 |
NOMI | 20 |
Patients | Age | GOT (U/L) nv: 0–31 | GPT (U/L) nv: 0–31 | LDH (U/L) nv: 240–480 | CPK (U/L) nv: 26–192 | CREATININE mg/dl nv: 0,51–0,95 | WBC vn 4–11 10^3 uL | CT FINDINGS |
---|---|---|---|---|---|---|---|---|
1 | 66 | 520 | 489 | 3125 | 1223 | 5.1 | 26,28 | negative for SMA obstruction, bowel infarction, peritoneal collections |
2 | 79 | 610 | 498 | 1225 | 251 | 1,3 | 22,3 | negative for SMA obstruction, paralytic ileum signs |
3 | 75 | 426 | 286 | 1316 | 680 | 1,4 | 23,6 | negative for SMA obstruction, paralytic ileum signs |
4 | 54 | 838 | 778 | 1198 | 889 | 1,3 | 24,68 | negative for SMA obstruction, right colon and ileum thickening |
5 | 81 | 650 | 568 | 2218 | 1001 | 3,2 | 17,42 | negative for SMA obstruction, diffuse colon and bowel infarction, peritoneal collections |
6 | 82 | 466 | 598 | 1589 | 996 | 1,9 | 15,69 | negative for SMA obstruction, paralytic ileum signs |
7 | 61 | 835 | 687 | 1286 | 754 | 1,75 | 22,65 | negative for SMA obstruction, right colon and ileum thickening |
8 | 90 | 589 | 410 | 1857 | 1028 | 2,6 | 14,8 | negative for SMA obstruction, left colon and ileum thickening |
9 | 78 | 380 | 520 | 1635 | 987 | 2,4 | 15,1 | negative for SMA obstruction, peritoneal collections |
10 | 76 | 489 | 475 | 856 | 385 | 1,9 | 23,2 | negative for SMA obstruction, bowel infarction |
11 | 71 | 554 | 598 | 758 | 235 | 2,4 | 20,1 | negative for SMA obstruction, bowel infarction, peritoneal collections |
12 | 61 | 665 | 689 | 1105 | 624 | 1,4 | 18,7 | negative for SMA obstruction, paralytic ileum signs |
13 | 78 | 811 | 799 | 658 | 201 | 1,2 | 14,8 | negative for SMA obstruction, bowel infarction |
14 | 69 | 715 | 684 | 2890 | 1425 | 3,3 | 18,4 | negative for SMA obstruction, left colon and ileum thickening |
15 | 82 | 542 | 396 | 1687 | 1215 | 2,7 | 17,5 | negative for SMA obstruction, paralytic ileum signs |
16 | 69 | 496 | 389 | 1420 | 893 | 2,6 | 18,84 | negative for SMA obstruction, bowel infarction, peritoneal collections |
17 | 78 | 675 | 497 | 752 | 358 | 1,5 | 26,3 | negative for SMA obstruction, paralytic ileum signs |
18 | 87 | 742 | 694 | 3869 | 1845 | 4,8 | 24.3 | negative for SMA obstruction, left colon and ileum thickening |
19 | 78 | 868 | 688 | 1012 | 854 | 2,7 | 16,4 | negative for SMA obstruction, paralytic ileum signs |
20 | 72 | 308 | 258 | 1536 | 1088 | 3,7 | 37,26 | negative for SMA obstruction, peritoneal collections |
Extension of Ischemia In NOMI patients | ||
---|---|---|
Bowel site | N° of cases | 1st look resection cases |
Small Bowel and other splancnic organs | 14 | 0 |
Ileum and right colon | 2 | 2 |
Left colon | 3 | 3 |
Entire colon | 1 | 1 |
Second look evaluation (48 h later) | N° of recurrent necrosis |
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Resected group | 4 |
Non-resected group | 5 |
Outcome of NOMI patients after treatment | N° of cases | Resected group | Non resected group |
---|---|---|---|
Mortality | 6/20 (30%) | 5/11 (45,5%) | 1/9 (11,1%) |
Morbidity related to laparoscopy | 0 | 0 | 0 |
Mortality | Cases/TOT | Percent |
---|---|---|
First and second look negative | 1/9 | 11,1 |
1 st look positivity | 3/6 | 50 |
2 nd look positivity only | 2/5 | 40 |