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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 1/2006

01.01.2006

Laparoscopy for abdominal emergencies

Evidence-based guidelines of the European Association for Endoscopic Surgery

verfasst von: S. Sauerland, F. Agresta, R. Bergamaschi, G. Borzellino, A. Budzynski, G. Champault, A. Fingerhut, A. Isla, M. Johansson, P. Lundorff, B. Navez, S. Saad, E. A. M. Neugebauer

Erschienen in: Surgical Endoscopy | Ausgabe 1/2006

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Abstract

Background

Emergency laparoscopic exploration can be used to identify the causative pathology of acute abdominal pain. Laparoscopic surgery also allows treatment of many intraabdominal disorders. This report was prepared to describe the effectiveness of laparoscopic surgery compared to laparotomy or nonoperative treatment.

Methods

A panel of European experts in abdominal and gynecological surgery was assembled and participated in a consensus conference using Delphi methods. The aim was to develop evidence-based recommendations for the most common diseases that may cause acute abdominal pain.

Recommendations

Laparoscopic surgery was found to be clearly superior for patients with a presumable diagnosis of perforated peptic ulcer, acute cholecystitis, appendicitis, or pelvic inflammatory disease. In the emergency setting, laparoscopy is of unclear or limited value if adhesive bowel obstruction, acute diverticulitis, nonbiliary pancreatitis, hernia incarceration, or mesenteric ischemia are suspected. In stable patients with acute abdominal pain, noninvasive diagnostics should be fully exhausted before considering explorative surgery. However, diagnostic laparoscopy may be useful if no diagnosis can be found by conventional diagnostics. More clinical data are needed on the use of laparoscopy after blunt or penetrating trauma of the abdomen.

Conclusions

Due to diagnostic and therapeutic advantages, laparoscopic surgery is useful for the majority of conditions underlying acute abdominal pain, but noninvasive diagnostic aids should be exhausted first. Depending on symptom severity, laparoscopy should be advocated if routine diagnostic procedures have failed to yield results.
Literatur
1.
Abbott J, Hawe J, Hunter D, Holmes M, Finn P, Garry R (2004) Laparoscopic excision of endometriosis; a randomized, placebo-controlled trial. Fertil Steril 82: 878–884PubMedCrossRef
2.
Agresta F, De Simone P, Bedin N (2004) The laparoscgpjc approach in abdominal emergencies: a single-center 10-year experience. J Soc Laparoendosc Surg 8: 25–30
3.
Agresta F, Piazza A, Michelet I, Bedin N, Sartori CA (2000) Small bowel obstruction. Laparoscopic approach. Surg Endosc 14: 154–156PubMedCrossRef
4.
Ahmad TA, Shelbaya E, Razek SA, Mohamed RA, Tajima Y, Ali SM, Sabet MM, Kanematsu T (2001) Experience of laparoscopic management in 100 patients with acute abdomen. Hepatogastroenterology 48: 733–736PubMed
5.
Ainsworth AP, Rafaelsen SR, Wamberg PA, Durup J, Pless TK, Mortensen MB (2003) Is there a difference in diagnostic accuracy and clinical impact between endoscopic ultrasonography and magnetic resonance cholangiopancreatography? Endoscopy 35: 1029–1032PubMedCrossRef
6.
Alimoglu O, Ozkan OV, Sahin M, Akcakaya A, Eryilmaz R, Bas G (2003) Timing of cholecystectomy for acute biliary pancreatitis: outcomes of cholecystectomy on first admission and after current biliary pancreatitis. World J Surg 27: 256–259PubMedCrossRef
7.
Allen LA, Schoon MG (1983) Laparoscopic diagnosis of acute pelvic inflammatory disease. Br J Obstet Gynaecol 90: 966–968PubMed
8.
Al-Mulhim AA (2000) Laparoscopic management of acute small bowel obstruction. Experience from a Saudi teaching hospital. Surg Endosc 14: 157–160PubMedCrossRef
9.
Al-Mulhim AA (2004) Laparoscopic diagnosis of peritoneal tuberculosis. Surg Endosc 18: 1757–1761PubMedCrossRef
10.
American Society of Colon and Rectal Surgeons (2000) Practice parameters for the treatment of sigmoid diverticulitis. Dis Colon Rectum 43: 289–297CrossRef
11.
Anonymous (2002) NIH state-of-the-science statement on endoscopic retrograde cholangiopancreatography (ERCP) for diagnosis and therapy. NIH Consens State Sci Statements 19: 1–26
12.
Araujo-Teixeira JP, Rocha-Reis J, Costa-Cabral A, Barros H, Saraiva AC, Araujo-Teixeira AM (1999) Laparoscopie ou laparotomie dans la cholecystite aigue (200 cas). Comparaison des resultats et facteurs predisposant a la conversion. Chirurgie 124: 529–535PubMedCrossRef
13.
Arguedas MR, Dupont AW, Wilcox CM (2001) Where do ERCP, endoscopic ultrasound, magnetic resonance cholangiopancreatography, and intraoperative cholangiography fit in the management of acute biliary pancreatitis? A decision analysis model. Am J Gastroenterol 96: 2892–2899PubMedCrossRef
14.
Assalia A, Kopelman D, Hashmonai M (1997) Emergency minilaparotomy cholecystectomy for acute cholecystitis: prospective randomized trials—implications for the laparoscopic era. World J Surg 21: 534–539PubMedCrossRef
15.
Avrutis O, Friedman SJ, Meshoulm J, Haskel L, Adler S (2000) Safety and success of early laparoscopic cholecystectomy for acute cholecystitis. Surg Laparosc Endosc Percutan Tech 10: 200–207PubMedCrossRef
16.
Ayub K, Imada R, Slavin J (2004) Endoscopic retrograde cholangiopancreatography in gallstone-associated acute pancreatitis. Cochrane Database Syst Rev CD003630
17.
Bailey IS, Rhodes M, O’Rourke N, Nathanson L, Fielding G (1998) Laparoscopic management of acute small bowel obstruction. Br J Surg 85: 84–87PubMedCrossRef
18.
Bastug DF, Trammell SW, Boland JP, Mantz EP, Tiley EH 3rd (1991) Laparoscopic adhesiolysis for small bowel obstruction. Surg Laparosc Endosc 1: 259–262PubMed
19.
Bedirli A, Sözüer EM, Sakrak O, Babayigit H, Yilmaz Z (2003) Comparison of the results of early, delayed and elective surgery in biliary pancreatitis. Turk J Gastroenterol 14: 97–101PubMed
20.
Berber E, Engle KL, String A, Garland AM, Chang G, Macho J, Pearl JM, Siperstein AE (2000) Selective use of tube cholecystostomy with interval laparoscopic cholecystectomy in acute cholecystitis. Arch Surg 135: 341–346PubMedCrossRef
21.
Bergamaschi R, Marvik R, Johnsen G, Thoresen JE, Ystgaard B, Myrvold HE (1999) Open vs laparoscopic repair of perforated peptic ulcer. Surg Endosc 13: 679–682PubMedCrossRef
22.
Bevan CD, Johal BJ, Mumtaz G, Ridgway GL, Siddle NC (1995) Clinical, laparoscopic and microbiological findings in acute salpingitis; report on a United Kingdom cohort. Br J Obstet Gynaecol 102: 407–414PubMed
23.
Bhattacharya D, Ammori BJ (2005) Contemporary minimally invasive approaches to the management of acute cholecystitis: a review and appraisal. Surg Laparosc Endosc Percutan Tech 15: 1–8PubMedCrossRef
24.
Bhattacharya D, Senapati PS, Hurle R, Ammori BJ (2002) Urgent versus interval laparoscopic cholecystectomy for acute cholecystitis: a comparative study. J Hepatobiliary Pancreat Surg 9: 538–542PubMedCrossRef
25.
Bittner R, Leibl B, Kraft K, Butters M, Nick G, Ulrich M (1997) Laparoskopische Cholecystektomie in derTherapie der akuten Cholecystitis; Sofort-versus Intervalloperation. Chirurg 68: 237–243PubMedCrossRef
26.
Bjorck M, Acosta S, Lindberg F, Troeng T, Bergqvist D (2002) Revascularization of the superior mesenteric artery after acute thromboembolic occlusion, Br J Surg 89: 923–927PubMedCrossRef
27.
Boey J, Lee NW, Koo J, Lam PH, Wong J, Ong GB (1982) Immediate definitive surgery for perfof rated duodenal ulcers: a prospective controlled trial. Ann Surg 196: 338–344PubMed
28.
Boggi U, Di Candio G, Campatelli A, Oleggini M, Pietrabissa A, Filipponi F, Bellini R, Mazzotta D, Mosca F (1999) Percutaneous cholecystostomy for acute cholecystitis in critically ill patients, Hepatogastroenterology 46: 121–125PubMed
29.
Borgstein PJ, Gordijn RV, Eijsbouts QAJ, Cuesta MA (1997) Acute appendicitis—clear-cut case in men, a guessing game in young women. A prospective study on the role of taparoscopy. Surg Endosc 11: 923–927PubMedCrossRef
30.
Borie F, Fingerhut A, Millat B (2003) Acute biliary pancreatitis, endoscopy, and laparoscopy. Surg Endosc 17: 1175–1180PubMedCrossRef
31.
Borzellino G, de Manzoni G, Ricci F, Castaldini G, Guglielmi A, Cordiano C (1999) Emergency cholecystostomy and subsequent cholecystectomy for acute gallstone cholecystitis in the elderly. Br J Surg 86: 1521–1525PubMedCrossRef
32.
Borzellino G, Tasselli S, Zerman G, Pedrazzani C, Manzoni G (2004) Laparoscopic approach to postoperative adhesive obstruction. Surg Endosc 18: 686–690PubMedCrossRef
33.
Bove A, Bongarzoni G, Serafini FM, Bonomo L, Dragani G, Palone F, Scotti U, Corbellini L (2004) L’approccio laparoscopico alla colecistite acuta. Risultati e fattori predittivi di conversione. G Chir 25: 75–79PubMed
34.
Bradley EL 3rd (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992, Arch Surg 128: 586–590PubMed
35.
British Society of Gastroenterology (1998) United Kingdom guidelines for the management of acute pancreatitis. Gut 42:S1–S13
36.
Brodsky A, Matter I, Sabo E, Cohen A, Abrahamson J, Eldar S (2000) Laparoscopic cholecystectomy for acute cholecystitis: can the need for conversion and the probability of complications be predicted? A prospective study. Surg Endosc 14: 755–760PubMedCrossRef
37.
Bruwer F, Coetzer M, Warren BL (2003) Laparoscopic versus open surgical exploration in menopausal women with suspected acute appendicitis. S Afr J Surg 41: 82–85PubMed
38.
Bryant TL, Umstot RK Jr (1996) Laparoscopic repair of an incarcerated obturator hernia. Surg Endosc 10: 437–438PubMedCrossRef
39.
Budzynski A, Bobizynski A, Rembiasz K, Biesiada Z (2003) Laparoscopic emergency surgery Przegl Lek 60 7: 20–24PubMed
40.
Byrne MF, SuhockPp, Mitchell RM, Pappas TN, Stiffler HL, Jowell PS, Branch MS, Baillie J (2003) Percutaneous cholecystostomy in patients with acute cholecystitis: experience of 45 patients at a U.S. referral center. J Am Coll Surg 197: 206–211PubMedCrossRef
41.
Carbajo Caballero MA, Martín del Olmo JC, Blanco Álvarez JI, Cuesta de la Llave C, Atienza Sánchez R, Inglada Galiana L, Vaquero Puerta C (1998) Surgical treatment of the acute cholecystitis in the laparoscopic age. A comparative study: laparoscopy against laparatomy. Rev Esp Enferm Dig 90: 788–793PubMed
42.
Chak A, Hawes RH, Cooper GS, Hoffman B, Catalano MF, Wong RC, Herbener TE, Sivak MV Jr (1999) Prospective assessment of the utility of EUS in the evaluation of gallstone pancreatitis. Gastrointest Endosc 49: 590–604PubMedCrossRef
43.
Champault G, Rizk N, Lauroy J, Olivares P, Belhassen A, Boutelier P (1993) Douleurs iliaques droites de la femme. Approche diagnostique conventionelle versus laparoscopie première. Étude contrôlée (65 cas). Ann Chir 47: 316–319PubMed
44.
Champault GG (1994) Laparoscopic treatment of perforated peptic ulcer, Endosc Surg Allied Technol 2: 117–118PubMed
45.
Chandler CF, Lane JS, Ferguson P, Thompson JE, Ashley SW (2000) Prospective evaluation of early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Am Surg 66: 896–900PubMed
46.
Chang L, Lo S, Stabile BE, Lewis RJ, Toosie K, de Virgilio C (2000) Preoperative versus postoperative endoscopic retrograde cholangiopancreatography in mild to moderate gallstone pancreatitis: a prospective randomized trial. Ann Surg 231: 82–87PubMedCrossRef
47.
Chang L, Moonka R, Stelzner M (2000) Percutaneous cholecystostomy for acute cholecystitis in veteran patients. Am J Surg 180: 198–202PubMedCrossRef
48.
Chau CH, Tang CM, Siu WT, Ha JP, Li MK (2002) Laparoscopic cholecystectomy versus open cholecystectomy in elderly patients with acute cholecystitis: retrospective study. Hong Kong Med J8: 394–399
49.
Cheema S, Brannigan AE, Johnson S, Delaney PV, Grace PA (2003) Timing of laparoscopic cholecystectomy in acute cholecystitis. Ir J Med Sci 172: 128–131PubMedCrossRef
50.
Chen RJ, Fang JF, Lin BC, Hsu YB, Kao JL, Kao YC, Chen MF (1998) Selective application of laparoscopy and fibrin glue in the failure of nonoperative management of blunt hepatic trauma. J Trauma 44: 691–695PubMed
51.
Chiarugi M, Buccianti P, Decanini L, Balestri R, Lorenzetti L, Ranceschi M, Cavina E (2001) “What you see is not what you get.” A plea to remove a “normal” appendix during diagnostic laparoscopy. Acta Chir Belg 101: 243–245PubMed
52.
Cho YP, Jung SM, Han MS, Jang HJ, Kim JS, Kim YH, Lee SG (2003) Role of diagnostic laparoscopy in managing acute mesenteric venous thrombosis. Surg Laparosc Endosc Percutan Tech 13: 215–217PubMedCrossRef
53.
Chol YB, Lim KS (2003) Therapeutic laparoscopy for abdominal trauma. Surg Endosc 17: 421–427PubMedCrossRef
54.
Chong AK, So JB, Ti TK (2001) Use of laparoscopy in the management of mesenteric venous thrombosis. Surg Endosc 15: 1042PubMed
55.
Chopra R, McVay C, Phillips E, Khalili TM (2003) Laparoscopic lysis of adhesions. Am Surg 69: 966–968PubMed
56.
Chosidow D, Johanet H, Montariol T, Kielt R, Manceau C, Marmuse JP, Benhamou G (2000) Laparoscopy for acute small-bowel obstruction secondary to adhesions. J Laparoendosc Adv Surg Tech A 10: 155–159PubMed
57.
Chung RS, Diaz JJ, Chari V (1998) Efficacy of routine laparoscopy for the acute abdomen. Surg Endosc 12: 219–222PubMedCrossRef
58.
Cloyd DW (1994) Laparoscopic repair of incarcerated paraesophageal hernias. Surg Endosc 8: 893–897PubMedCrossRef
59.
Consensus Panel, Society for Surgery of the Alimentary Tract, American Gastroenterological Association, American Society for Gastrointestinal Endocospy (2001) Management of the biliary tract in acute necrotizing pancreatitis. J Gastrointest Surg 5: 221–222CrossRef
60.
Cougar P, Barras C, Gayral F, et al. (2000) Societé Francaise de Chirurgie Laparoscopique Le traitement laparoscopique de l’ulcère duodénal perforé. Résujtats d’une étude rétrospective multicentrique. Ann Chir 125: 726–731CrossRef
61.
Crofts TJ, Park KG, Steele RJ, Chung SS, Li AK (1989) A randomized trial of nonoperative treatment for perforated peptic ulcer. N Engl J Med 320: 970–973PubMedCrossRef
62.
Cueto J, Díaz O, Garteiz D, Rodriguez M, Weber A (1997) The efficacy of laparoscopic surgery in the diagnosis and treatment of peritonitis. Experience with 107 cases in Mexico City. Surg Endosc 11: 366–370PubMedCrossRef
63.
Cuschieri A, Hennessy TP, Stephens RB, Berci G (1988) Diagnosis of significant abdominal trauma after road traffic accidents: preliminary results of a multicentre clinical trial comparing minilaparoscopy with peritoneal lavage. Ann R Coll Surg Engl 70: 153–155PubMed
64.
Decadt B, Sussman L, Lewis MPN, Seeker A, Cohen L, Rogers C, Patel A, Rhodes M (1999) Randomized clinical trial of early laparoscopy in the management of acute non-specific abdominal pain. Br J Surg 86: 1383–1386PubMedCrossRef
65.
Dervenis C, Johnson CD, Bassi C, Bradley E, Imrie CW, McMadlin MJ, Modlin I (1999) Diagnosis, objective assessment of severity, and management of acute pancreatitis. Santorini consensus conference. Int J Pancreatol 25: 195–210PubMed
66.
Druart ML, Van Hee R, Etienne J, et al. (1997) Laparoscopic repair of perforated duodenal ulcer. A prospective multicenter clinical trial. Surg Endosc 11: 1017–1020PubMedCrossRef
67.
Easter DW, Cuschieri A, Nathanson LK, Lavelle-Jones M (1992) The utility of diagnostic laparoscopy for abdominal disorders. Audit of 120 patients. Arch Surg 127: 379–383PubMed
68.
Edwards MS, Cherr GS, Craven TE, Olsen AW, Plonk GW, Geary RL, Ligush JL, Hansen KJ (2003) Acute occlusive mesenteric ischemia: surgical management and outcomes. Ann Vasc Surg 17: 72–79PubMedCrossRef
69.
Eldar S, Eltan A, Bickel A, Sabo E, Cohen A, Abrahamson J, Matter I (1999) The impact of patient delay and physician delay on the outcome of laparoscopic cholecystectomy for acute cholecystitis. Am J Surg 178: 303–307PubMedCrossRef
70.
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic cholecystectomy for acute cholecystitis: prospective trial. World J Surg 21: 540–545PubMedCrossRef
71.
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic versus open cholecystectomy in acute cholecystitis. Surg Laparosc Endosc 7: 407–414PubMedCrossRef
72.
Eypasch E, Kum CK, Neugebauer E, et al. Laparoscopic appendectomy: EAES consensus development conference (1997) and updating comments (2000). In: Neugebauer H, Sauerland S, Troidi H (eds) Recommendations for evidence-based surgery. Springer, Paris, 2000 p 15–23
73.
Eypasch E, Menningen R, Paul A, Troidl H (1993) Die Bedeutung der Laparoskopie bei der Diagnostik und Therapie des akuten Abdomens. Zentralbl Chir 118: 726–732PubMed
74.
Eypasch E, Spangenberger W, Ure B, Mennigen R, Troidl H (1994) Laparoskopische und kon ventionelle Übernähung perforierter peptischer Ulcera: eine Gegenüberstellung, Chirurg 65: 445–450PubMed
75.
Fagniez PL, Rotman N, Association de Recherche en Chirurgie (1998) Influence de la date de (l’intervention chirurgicale sur le pronostic des pancreatites aigues biliaires graves. Chirurgie 123: 368–372PubMedCrossRef
76.
Fan ST, Lai ECS, Mok FPT, Lo CML, Zheng SS, Wong J (1993) Early treatment of acute biliary pancreatitis by endoscopic papillotomy. N Engl J Med 328: 228–232PubMedCrossRef
77.
Faranda C, Barrat C, Catheline JM, Champault GG (2000) Two-stage laparoscopic management of generalized peritonitis due to perforated sigmoid diverticula; eighteen cases. Surg Laparosc Endosc Percutan Tech 10: 135–141PubMedCrossRef
78.
Feigel M, Thalmann C, Blessing H (1996) Laparoskopisch endoskopisch-präperitoneale kombinierte Hernien-Operation bei incarcerierter indirekter Inguinalhernie. Chirurg 67: 188–189PubMedCrossRef
79.
Fernandez H, Marchal L, Vincent Y (1998) Fertility after radical surgery for tubal pregnancy. Fertil Steril 70: 680–686PubMedCrossRef
80.
Ferrozzi L, Lippolis G, Petitti T, Carnevale D, Masi M (2004) La colecistectomia videolaparoscopica nella colecistite acuta: nostra esperienza. G Chir 25: 80–82PubMed
81.
Ferzli G, Shapiro K, Chaudry G, Patel S (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18: 228–231PubMedCrossRef
82.
Fevang BT, Fevang J, Lie SA, Soreide O, Svanes K, Viste A (2004) Long-term prognosis after operation for adhesive small bowel obstruction. Ann Surg 240: 193–201PubMedCrossRef
83.
Fevang BT, Fevang JM, Soreide O, Svanes K, Viste A (2003) Delay in operative treatment among patients with small bowel obstruction. Scand J Surg 92: 131–137PubMed
84.
Fevang BT, Jensen D, Svanes K, Viste A (2002) Early operation or conservative management of patients with small bowel obstruction? Eur J Surg 168: 475–481PubMedCrossRef
85.
Fischer CP, Doherty D (2002) Laparoscopic approach to small bowel obstruction. Semin Laparosc Surg 9: 40–45PubMedCrossRef
86.
Flum DR, Morris A, Koepsell T, Dellinger EP (2001) Has misdiagnosis of appendicitis decreased over time? A population-based analysis. J Am Med Assoc 286: 1748–1753CrossRef
87.
Fölsch UR, Nitsche R, Ludtke R, Hilgers RA, Creutzfeldt W; the German Study Group on Acute Biliary Pancreatitis (1997) Early ERCP and papillotomy compared with conservative treatment for acute biliary pancreatitis. N Engl J Med 336: 237–242PubMedCrossRef
88.
Franklin ME, Jr, Dorman JP, Jacobs M, Plasencia G (1997) Is laparoscopic surgery applicable to complicated colonic diverticular disease? Surg Endosc 11: 1021–1025PubMedCrossRef
89.
Franklin ME, Jr, Dorman JP, Pharand D (1994) Laparoscopic surgery in acute small bowel obstruction. Surg Laparosc Endosc 4: 289–296PubMed
90.
Franklin ME, Jr, Gonzalez JJ Jr, Miter DB, Glass JL, Paulson D (2004) Laparoscopic diagnosis and treatment of intestinal obstruction. Surg Endosc 18: 26–30PubMedCrossRef
91.
Gagner M (1996) Laparoscopic treatment of acute necrotizing pancreatitis. Semin Laparosc Surg 3: 21–28PubMed
92.
Gaitán H, Angel E, Sánchez J, Gómez I, Sánchez L, Agudelo C (2002) Laparoscopic diagnosis of acute lower abdominal pain in women of reproductive age. Int J Gynaecol Obstet 76: 149–158PubMedCrossRef
93.
Garber SM, Korman J, Cosgrove JM, Cohen JR (1997) Early laparoscopic cholecystectomy for acute cholecystitis. Surg Endosc 11: 347–350PubMedCrossRef
94.
Geis WP, Kim HC (1995) Use of laparoscopy in the diagnosis and treatment of patients with surgical abdominal sepsis. Surg Endosc 9: 178–182PubMedCrossRef
95.
Gharaibeh KI, Qasaimeh GR, Al-Heiss H, Ammari F, Bani-Hani K, Al-Jaberi TM, Al-Natour S (2002). Effect of timing of surgery, type of inflammation, and sex on outcome of laparoscopic cholecystectomy for acute cholecystitis. J Laparoendosc Adv Surg Tech A 12: 192–198PubMedCrossRef
96.
Giger U, Michel JM, Vonlanthen R, Becker K, KocherT, Krähenbühl L (2005) Laparoscopic cholecystectomy in acute cholecystitis: indication, technique, risk and outcome. Langenbecks Arch Surg 390: 373–380PubMedCrossRef
97.
Glavic Z, Begic L, Simlesa D, Rukavina A (2001) Treatment of acute cholecystitis. A comparison of open vs laparoscopic cholecystectomy. Surg Endosc 15: 398–401PubMedCrossRef
98.
Golash V, Willson PD (2005) Early laparoscopy as a routine procedure in the management of acute abdominal pain: a review of 1320 patients. Surg Endosc 19: 882–885PubMedCrossRef
99.
Graham A, Henley C, Mobley J (1991) Laparoscopic evaluation of acute abdominal pain. J Laparoendosc Surg 1: 165–168PubMed
100.
Granlund A, Karlson BM, Elvin A, Rasmussen I (2001) Ultrasound-guided percutaneous cholecystostomy in high-risk surgical patients. Langenbecks Arch Surg 386: 212–217PubMedCrossRef
101.
Gray DT, Thorburn J, Lundorff P, Strandell A, Lindblom B (1995) A cost-effectiveness study of a randomised trial of laparoscopy versus laparotomy for ectopic pregnancy. Lancet 345: 1139–1143PubMedCrossRef
102.
Greenwald JA, McMullen HF, Coppa GF, Newman RM (2000) Standardization of surgeon-controlled variables: impact on outcome in patients with acute cholecystitis. Ann Surg 231: 339–344PubMedCrossRef
103.
Grunewald B, Keating J (1993) Should the “normal” appendix be removed at operation for appendicitis? J R Coll Surg Edinb 38: 158–160PubMed
104.
Haan J, Kole K, Brunetti A, Kramer M, Scalea TM (2003) Nontherapeutic laparotomies revisited. Am Surg 69: 562–565PubMed
105.
Habib FA, Kolachaiam RB, Khilnani R, Preventza O, Mittal VK (2001) Role of laparoscopic cholel cystectomy in the management of gangrenous cholecystitis. Am J Surg 181: 71–75PubMedCrossRef
106.
Hallal AH, Amortegui JD, Jeroukhimov IM, Casillas J, Schulman CI, Manning RJ, Habib FA, Lo-pez PP, Cohn SM, Sleeman D (2005) Magnetic resonance cholangiopancreatography accurately detects common bile duct stones in resolving gallstone pancreatitis. J Am Coll Surg 200: 869–875PubMedCrossRef
107.
Hamad GG, Broderick TJ (2000) Laparoscopic pancreatic necrosectomy. J Laparoendosc Adv Surg Tech A 10: 115–118PubMed
108.
Hartwig W, Maksan SM, Foitzik T, Schmidt J, Herfarth C, Klar E (2002) Reduction in mortality with delayed surgical therapy of severe pancreatitis. J Gastrointest Surg 6: 481–487PubMedCrossRef
109.
Hatzidakis AA, Prassopoulos P, Petinarakis I, Sanidas E, Chrysos E, Chalkiaoakis G, Tsiftsis D, Gourtsoyiannis NC (2002) Acute cholecystitis in high-risk patients: percutaneous cholecystostomy vs conservative treatment. Eur Radiol 12: 1778–1784PubMedCrossRef
110.
Heiss MM, Hüttl TP, Spelsberg FW, Lang RA, Jauch KW (2003) Möglichkeiten und Grenzen der laparoskopischen Magenchirurgie. Viszeralchirurgie 38: 107–117CrossRef
111.
Ibrahim IM, Wolodiger F, Sussman B, Kahn M, Silvestri F, Sabar A (1996) laparoscopic management of acute small-bowel obstruction. Surg Endosc 10: 1012–1015PubMedCrossRef
112.
Irvin TT (1989) Abdominal pain; a surgical audit of 1190 emergency admissions, Br J Surg 76: 1121–1125PubMed
113.
Ishihara T, Kubota K, Eda N, Ishibashi S, Haraguchi Y (1996) Laparoscopic approach to incarcerated inguinal hernia. Surg Endosc 10: 1111–1113PubMedCrossRef
114.
Isla A, Griniatsos J, Rodway A (2003) Single-stage definitive laparoscopic management in mild acute biliary pancreatitis. J Laparoendosc Adv Surg Tech A 13: 77–81PubMedCrossRef
115.
Ito K, Fujita N, Noda Y, Kobayashi G, Kimura K, Sugawara T, Horaguchi J (2004) Percutaneous cholecystostomy versus gallbladder aspiration for acute cholecystitis: a prospective randomized controlled trial. Am J Roentgenol 183: 193–196
116.
Jacobson TZ, Barlow DH, Garry R, Koninckx P (2001) Laparoscopic surgery for pelvic pain associated with endometriosis. Cochrane Database Syst Rev CD001300
117.
Jadallah FA, Abdul-Ghani AA, Tibblin S (1994) Diagnostic laparoscopy reduces unnecessary appendicectomy in fertile women. Eur J Surg 160: 41–45PubMed
118.
Jawad AJ, Al-Meshari A (1998) Laparoscopy for ovarian pathology in infancy and childhood. Pediatr Surg Int 14: 62–65PubMedCrossRef
119.
Johansson B, Hallerbäck B, Glise H, Johnsson E (1996) Laparoscopic suture closure of perforated peptic ulcer. A nonrandomized comparison with open surgery. Surg Endosc 10: 656–658PubMedCrossRef
120.
Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L (2003) Management of acute cholecytitis in the laparoscopic era: results of a prospective, randomized clinical trial. J Gastrointest Surg 7: 642–645PubMedCrossRef
121.
Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L (2004) Impact of choice of therapeutic strategy for acute cholecystitis on patinet’s health-related quality of life: results of a randomized, controlled clinical trial. Dig Surg 21: 359–362PubMedCrossRef
122.
Johansson M, Thune A, Nelvin L, Stiernstam M, Westman B, Lundell L (2005) Randomized clinical trial of open versus laparoscopic cholecystectomy in the treatment of acute cholecystitis. Br J Surg 92: 44–49PubMedCrossRef
123.
Kaiwa Y, Namiki K, Matsumoto H (2003) Laparoscopic relief of reduction en masse of incarcerated inguinal hernia. Surg Endosc 17: 352PubMedCrossRef
124.
Kaltenthaler E, Vergel YB, Chilcott J, Thomas S, Blakeborough T, Walters SJ, Bouchier H (2004) A systematic review and economic evaluation of magnetic resonance cholangiopancreatography compared with diagnostic endoscopic retrograde cholangiopancreatography. Health Technol Assess 8:iii, 1–89
125.
Kelly TR, Wagner DS (1988) Gallstone pancreatitis; a prospective randomized trial of the timing of surgery, Surgery 104: 600–605PubMed
126.
Kim HJ, Lee SK, Kim MH, Yoo KS, Lim BC, Seo DW, Min YI (2000) Safety and usefulness of percutaneous transhepatic cholecystoscopy examination in high-risk surgical patients with acute cholecystitis. Gastrointest Endosc 52: 645–649PubMedCrossRef
127.
Kim SY, Moore JT (2003) Volvulus of the gallbladder: laparoscopic detorsion and removal. Surg Endosc 17: 1849PubMed
128.
Kirby CP, Sparnon AL (2001) Active observation of children with possible appendicitis does not increase morbidity. ANZ J Surg 71: 412–413PubMedCrossRef
129.
Kirshtein B, Roy-Shapira A, Lantsberg L, Avinoach E, Mizrahi S (2005) Laparoscopic management of acute small bowel obstruction. Surg Endosc, 19: 464–467PubMedCrossRef
130.
Kirshtein B, Roy-Shapira A, Lantsberg L, Mandel S, Avinoach E, Mizrahi S (2003) The use of laparoscopy in abdominal emergencies. Surg Endosc 17: 1118–1124PubMedCrossRef
131.
Kiviluoto T, Sirén J, Luukkonen P, Kivilaakso E (1998) Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. Lancet 351: 321–325PubMedCrossRef
132.
Klein HM, Lensing R, Klosterhalfen B, Tons C, Gunther RW (1995) Diagnostic imaging of mesenteric infarction, Radiology 197: 79–82PubMed
133.
Knight JS, Mercer SJ, Somers SS, Walters AM, Sadek SA, Toh SK (2004) Timing of urgent laparoscopic cholecystectomy does not influence conversion rate. Br J Surg 91: 601–604PubMedCrossRef
134.
Kohler L, Sauerland S, Neugebauer E, for the Scientific Committee of the European Association for Endoscopic Surgery (1999) Diagnosis and treatment of diverticular disease; results of a consensus development conference. Surg Endosc 13: 430–436PubMedCrossRef
135.
Kok KYY, Mathew VV, Yapp SKS (1999) Laparoscopic omental patch repair for perforated duodenal ulcer. Am Surg 65: 27–30PubMed
136.
Kolla SB, Aggarwal S, Kumar A, Kumar R, Chumber S, Parshad R, Seenu V (2004) Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial. Surg Endosc 18: 1323–1327PubMedCrossRef
137.
Köninger J, Böttinger P, Redecke J, Butters M (2004) Laparoscooic repair of perforated gastroduodenal ulcer by running suture. Langenbecks Arch Surg 389: 11–16PubMedCrossRef
138.
Kontoravdis A, Chryssikopoulos A, Hassiakos D, Liapis A, Zourlas PA (1996) The diagnostic value of laparoscopy in 2365 patients with acute and chronic pelvic pain. Int J Gynaecol Obstet 52: 243–248PubMedCrossRef
139.
Koo KP, Thirlby RC (1996) Laparoscopic cholecystectomy in acute cholecystitis. What is the optimal timing for operation? Arch Surg 131: 540–545PubMed
140.
Koperna T, Kisser M, Schulz F (1999) Laparoscopic versus open treatment of patients with acute cholecystitis. Hepatogastroenterology 46: 753–757PubMed
141.
Kraemer M, Ohmann C, Leppert R, Yang Q (2000) Macroscopic assessment of the appendix at diagnostic laparoscopy is reliable. Surg Endosc 14: 625–633PubMedCrossRef
142.
Kronborg O (1993) Treatment of perforated sigmoid diverticulitis: a prospective randomized trial. Br J Surg 80: 505–507PubMed
143.
Kum CK, Eypasch E, Lefering R, Paul A, Neugebauer E, Troidl H (1996) Laparoscopic cholecystectomy for acute cholecystitis: is it really safe? World J Surg 20: 43–49PubMedCrossRef
144.
Kum CK, Goh PMY, Isaac JR, Tekant Y, Ngoi SS (1994) Laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 81: 1651–1654PubMed
145.
Kuster GG, Domagk D (1996) Laparoscopic cholecystostomy with delayed cholecystectomy as an alternative to conversion to open procedure. Surg Endosc 10: 426–428PubMedCrossRef
146.
Lai PBS, Kwong KH, Leung KL, Kwok SPY, Chan ACW, Chung SCS, Lau WY (1998) Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 85: 764–767PubMedCrossRef
147.
Laine S, Rantala A, Gullichsen R, Ovaska J (1997) Laparoscopic appendectomy is it worthwhile? A prospective, randomized study in young women. Surg Endosc 11: 95–97PubMedCrossRef
148.
Lam CM, Yuen AW, Chik B, Wai AC, Fan ST (2005) Laparoscopic surgery for common surgical emergencies: a population-based study. Surg Endosc 19: 774–779PubMedCrossRef
149.
Landau O, Kyzer S (2004) Emergent laparoscopic repair of incarcerated incisional and ventral hernia. Surg Endosc 18: 1374–1376PubMedCrossRef
150.
Lanzafame RJ (1993) Techniques for the simultaneous management of incarcerated ventral herniae and cholelithiasis via laparoscopy. J Laparoendosc Surg 3: 193–201PubMed
151.
Larsson PG, Henriksson G, Olsson M, Boris J, Stroberg P, Tronstad SE, Skuilman S (2001) Laparoscopy reduces unnecessary appendicectomies and improves diagnosis in fertile women. A randomized study. Surg Endosc 15: 200–202PubMedCrossRef
152.
Lau H (2004) Laparoscopic repair of perforated peptic ulcer: a meta-analysis. Surg Endosc 18: 1013–1021PubMed
153.
Lau WY, Leung KL, Kwong KH, Davey IC, Robertson C, Dawson JJ, Chung SC, Li AK (1996) A randomized study comparing laparoscopic versus open repair of perforated peptic ulcer using suture or sutureless technique. Ann Surg 224: 131–138PubMedCrossRef
154.
Lavonius MI, Ovaska J (2000) Laparoscopy in the evaluation of the incarcerated mass in groin hernia. Surg Endosc 14: 488–489PubMedCrossRef
155.
Lee FYJ, Leung KL, Lai PBS, Lau JWY (2001) Selection of patients for laparoscopic repair of perforated peptic ulcer. Br J Surg 88: 133–136PubMedCrossRef
156.
Lee HK, Han HS, Min SK, Lee JH (2005) Sex-based analysis of the outcome of laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 92: 463–466PubMedCrossRef
157.
Lee KB, Wong SK (2002) Emergency laparoscopic surgery—the Changi General Hospital experience. Ann Acad Med Singapore 31: 155–157PubMed
158.
Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R (2001) Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Results of a prospective study. Surg Endosc 15: 1179–1183PubMed
159.
Leister I, Markus PM, Becker H (2003) Mesenteriale Ischämie: Hat die diagnostische Laparokopie einen Stellenwert? Chirurg 74: 407–412PubMedCrossRef
160.
Leon EL, Metzger A, Tsiotos GG, Schlinkert RT, Sarr MG (1998) Laparoscopic management of small bowel obstruction; indications and outcome, J Gastrointest Surg 2: 132–140PubMedCrossRef
161.
Leppäniemi A, Haapiainen R (2003) Diagnostic laparoscopy in abdominal stab wounds: a prospective, randomized study. J Trauma 55: 636–645PubMed
162.
Leppaniemi A, Salo J, Haapiainen R (1995) Complications of negative laparotomy for truncal stab wounds. J Trauma 38: 54–58PubMed
163.
Levard H, Boudet MJ, Msika S, Molkhou JM, Hay JM, Laborde Y, Gillet M, Fingerhut A (2001) Laparoscopic treatment of acute small bowel obstruction: a multicentre retrospective study. ANZ J Surg 71: 641–646PubMedCrossRef
164.
Liao K, Ramirez J, Carryl S, Shaftan GW (1997) A new approach in the management of incarcety ated hernia. Emergency laparoscopic hernia repair. Surg Endosc 11: 944–945PubMedCrossRef
165.
Lin E, Wear K, Tiszenkel HI (2002) Planned reduction of incarcerated groin hernias with hernia sac laparoscopy. Surg Endosc 16: 936–938PubMedCrossRef
166.
Liu CL, Lo CM, Chan JK, Poon RT, Lam CM, Fan ST, Wong J (2001) Detection of choledocholithiasis by EUS in acute pancreatitis: a prospective evaluation in 100 consecutive patients. Gastrointest Endosc 54: 325–330PubMedCrossRef
167.
Liu S, Chen F, Chen H (1995) An evaluation of nonsurgical treatment for severe acute pancreatitis. Zhonghua Wai Ke Za Zhi 33: 545–547PubMed
168.
Lo CM, Fan ST, Liu CL, Lai EC, Wong J (1997) Early decision for conversion of laparoscopic to open cholecystectomy for treatment of acute cholecystitis. Am J Surg 173: 513–517PubMedCrossRef
169.
Lo CM, Liu CL, Fan ST, Lai EC, Wong J (1998) Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 227: 461–467PubMedCrossRef
170.
Lujan JA, Parrilla P, Robles R, Marin P, Torralba JA, Garcia-Ayllon J (1998) Laparoscopic chole? cystectomy vs open cholecystectomy in the treatment of acute cholecystitis: a prospective study. Arch Surg 133: 173–175PubMedCrossRef
171.
Lundorff P, Thorburn J, Hahlin M, Kallfelt B, Lindblom B (1991) Laparoscopic surgery in ectopic pregnancy. A randomized trial versus laparotomy. Acta Obstet Gynecol Scand 70: 343–348PubMed
172.
Lundorff P, Thorburn J, Lindblom B (1992) Fertility outcome after conservative surgical treatment of ectopic pregnancy evaluated in a randomized trial. Fertil Steril 57: 998–1002PubMed
173.
Madan AK, Aliabadi-Wahle S, Tesi D, Flint LM, Steinberg SM (2002) How early is early laparoscopic treatment of acute cholecystitis? Am J Surg 183: 232–236PubMedCrossRef
174.
Magos AL, Baumannn R, Burnbull AC (1989) Managing gynaecological emergencies with laparoscopy. Br Med J 299: 371–374
175.
Mais V, Ajossa S, Piras B, Marongiu D, Guerriero S, Melis GB (1995) Treatment of nonendometriotic benign adnexal cysts; a randomized comparison of laparoscopy and laparotomy. Obstet Gynecol 86: 770–774PubMedCrossRef
176.
Majewski WD (2005) Long-term outcome, adhesions, and quality of life after laparoscopic open surgical therapies for acute abdomen: follow-up of a prospective trial. Surg Endosc 19: 81–90PubMedCrossRef
177.
Mathonnet M, Peyrou P, Gainant A, Bouvier S, Cubertafond P (2003) Role of laparoscopy in blunt perforations of the small bowel. Surg Endosc 17: 641–645PubMedCrossRef
178.
Matsuda M, Nishiyama M, Hanai T, Saeki S, Watanabe T (1995) Laparoscopic omental patch repair for perforated peptic ulcer. Ann Surg 221: 236–240PubMed
179.
Matthews BD, Bui H, Harold KL, Kercher KW, Adrales G, Park A, Sing RF, Heniford BT (2003) Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc 17: 254–258PubMedCrossRef
180.
Mehendale VG, Shenoy SN, Joshi AM, Chaudhari NC (2002) Laparoscopic versus open surgical closure of perforated duodenal ulcers: a comparative study. Indian J Gastroenterol 21: 222–224PubMed
181.
Merriam LT, Kanaan SA, Dawes LG, Angelos P, Prystowsky JB, Rege RV, Joehl RJ (1999) Gangrenous cholecystitis: analysis of risk factors and experience with laparoscopic cholecystectomy. Surgery 126: 680–686PubMed
182.
Mier J, Luque-de León E, Castillo A, Robledo F, Blanco R (1997) Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 173: 71–75PubMedCrossRef
183.
Mikkelsen AL, Felding C (1990) Laparoscopy and ultrasound examination in women with acute pelvic pain. Gynecol Obstet Invest 30: 162–164PubMedCrossRef
184.
Millat B, Fingerhut A, Borie F (2000) Surgical treatment of complicated duodenal ulcers: co trolled trials. World J Surg 24: 299–306PubMedCrossRef
185.
Miserez M, Eypasch E, Spangenberger W, Lefering R, Troidl H (1996) Laparqscopic and conventional closure of perforated peptic ulcer. A comparison. Surg Endosc 10: 831–836PubMedCrossRef
186.
Moberg AC, Berndsen F, Palmquist I, Petersson U, Resch T, Montgomery A (2005) Randomized clinical trial of laparoscopic versus open appendicectomy for confirmed appendicitis. Br J Surg 92: 298–304PubMedCrossRef
187.
Morino M, Castagna E, Rosso E, Mao P (2004) Non-specific acute abdominal pain: a randomized controlled trial comparing early laparoscopy vs. observation [abstract]. Surg Endosc 18:S2CrossRef
188.
Mouret P, Francois Y, Vignal J, Barth X, Lombard-Platet R (1990) Laparoscopic treatment of perforated peptic ulcer. Br J Surg 77: 1006PubMed
189.
Murphy AA, Nager CW, Wujek JJ, Kettel LM, Torp VA, Chin HG (1992) Operative laparoscopy versus laparotomy for the management of ectopic pregnancy: a prospective trial. Fertil Steril 57: 1180–1185PubMed
190.
Murphy MK, Black NA, Lamping DL, McKee CM, Sanderson CFB, Askham J, Marteau T (1998) Consensus development methods, and their use in clinical guideline development Health Technol Assessment 2:i–iv, 1–88
191.
Naesgaard JM, Edwin B, Reiertsen O, Trondsen E, Færden AE, Rosseland AR (1999) Laparoscopic and open operation in patients with perforated peptic ulcer. Eur J Surg 165: 209–214PubMedCrossRef
192.
Nagle A, Ujiki M, Denham W, Murayama K (2004) Laparoscopic adhesiolysis for small bowel obstruction. Am J Surg 187: 464–470PubMedCrossRef
193.
194.
Nathanson LK, Easter DW, Cuschieri A (1990) Laparoscopic repair peritoneal toilet of perforated duodenal ulcer. Surg Endosc 4: 232–233PubMedCrossRef
195.
Nathens AB, Gurtis JR, Beale RJ, Cook DJ, Moreno RP, Romand JA, Skerrett SJ, Stapleton RD, Ware LB, Waldmann CS (2004) Management of tbe critically ill patient with severe acute pancreatitis. Crit Care Med 32: 2524–2536PubMedCrossRef
196.
Navarrete Aulestia S, Cantele H, Leyba JL, Navarrete M, Navarrete Llopla S (2003) Laparoscopic diagnosis and treatment in gynecologic emergencies. J Soc Laparoendosc Surg 7: 239–242
197.
Navez B, Arimont JM, Guiot P (1998) Laparoscopic approach in acute small bowel obstruction. A review of 68 patients. Hepatogastroenterology 45: 2146–2150PubMed
198.
Navez B, d’Udekem Y, Cambier E, Richir C, de Pierpont B, Guiot P (1995) Laparoscopy for management of nontraumatic acute abdomen. World J Surg 19: 382–386PubMedCrossRef
199.
Navez B, Mutter D, Russier Y, Vix M, Jamali F, Lipski D, Cambier E, Guiot P, Leroy J, Marescaux J (2001) Safety of laparoscopic approach for acute cholecystitis: retrospective study of 609 cases. World J Surg 25: 1352–1356PubMedCrossRef
200.
Neoptolemos JP, Carr-Locke DL, London NJ, Bailey IA, James D, Fossard DP (1988) Controlled trial of urgent endoscopic retrograde cholangiopancreatography and endoscopic sphincterotomy versus conservative treatment for acute pancreatitis due to gallstones. Lancet 2: 979–983PubMedCrossRef
201.
Neoptolemos JP, Shaw DE, Carr-Locke DL (1989) A multivariate analysis of preoperative risk factors in patients with common bile duct stones. Implications for treatment Ann Surg 209: 157–161
202.
Nicolau AE, Ionescu G, Iordache F, Mehic R, Spataru A (2002) Sutura laparoscopica sau sutura deschisa in ulcerul duodenal recent perforat la tineri. Chirurgia (Bucur) 97: 305–311
203.
Nitke S, Goldman GA, Fisch B, Kaplan B, Ovadia J (1996) The management of dermoid cysts—a comparative study of laparoscopy and laparotomy. Isr J Med Sci 32: 1177–1179PubMed
204.
Nordback I, Sisto T (1991) Ultrasonography and computed tomography in the diagnosis of por; tomesenteric vein thrombosis. Int Surg 76: 179–182PubMed
205.
Olsen JB, Myrén CJ, Haahr PE (1993) Randomized study of the value of laparoscopy before appendicectomy. Br J Surg 80: 922–923PubMed
206.
O’Sullivan GC, Murphy D, O’Brien MG, Ireland A (1996) Laparoscopic management of generalized peritonitis due to perforated colonic diverticula. Am J Surg 171: 432–434PubMedCrossRef
207.
Ou CS, Rowbotham R (2000) Laparoscopic diagnosis and treatment of nontraumatic acute abdominal pain in women. J Laparoendosc Adv Surg Tech A 10: 41–45PubMedCrossRef
208.
Paimela H, Oksala NK, Kivilaakso E (2004) Surgery for peptic ulcer today. A study on the incidence, methods and mortality in surgery for peptic ulcer in Finland between 1987 and 1999. Dig Surg 21: 186–191PubMedCrossRef
209.
Pamoukian VN, Gagner M (2001) Laparoscopic necrosectomy for acute necrotizing pancreatitis, J Hepatobiliary Pancreat Surg 8: 221–223PubMedCrossRef
210.
Papi C, Catarci M., D’Ambrosjo L, Gili L, Koch M, Grassi GB, Capurso L (2004) Timing of cholecystectomy for acute calculous cholecystitis: a meta-analysis. Am J Gastroenterol 99: 147–155PubMedCrossRef
211.
Paterson-Brown S, Eckersley JRT, Sim AJW, Dudley HAF (1986) Laparoscopy as an adjunct to decision making in the “acute abdomen”. Br J Surg 73: 1022–1024PubMed
212.
Patient Care Committee of the Society for Surgery of the Alimentary Tract (1999) Surgical treatment of diverticulitis. J Gastrointest Surg 3: 212–213CrossRef
213.
Patterson EJ, McLoughlin RF, Mathieson JR, Cooperberg PL, MacFarlane JK (1996) An alternative approach to acute cholecystitis. Percutaneous cholecystostomy and interval laparoscopic cholecystectomy. Surg Endosc 10: 1185–1188PubMedCrossRef
214.
Paul A, Millat B, Holthausen U, Sauerland S, Neugebauer E, for the Scientific Committee of the European Association for Endoscopic Surgery (1998) Diagnosis and treatment of common bile duct stones (CBDS). Results of a consensus development conference. Surg Endosc 12: 856–864CrossRef
215.
Peng WK, Sheikh Z, Nixon SJ, Paterson-Brown S (2005) Role of laparoscopic cholecystectomy in the early management of acute gallbladder disease. Br J Surg 92: 586–591PubMedCrossRef
216.
Perko MJ (2001) Duplex ultrasound for assessment of superior mesenteric artery blood flow. Eur J Vasc Endovasc Surg 21: 106–117PubMedCrossRef
217.
Pessaux P, Lebigot J, Tuech JJ, Regenet N, Aubé C, Ridereau C, Arnaud JP (2000) Cholécystostomie percutanee dans les cholécystites aiguës chez les patients à haut risque. Ann Chir 125: 738–743PubMedCrossRef
218.
Pessaux P, Regenet N, Tuech JJ, Rouge C, Bergamaschi R, Arnaud JP (2001) Laparoscopic versus open cholecystectomy: a prospective comparative study in the elderly with acute cholecystitis. Surg Laparosc Endosc Percutan Tech 11: 252–255PubMedCrossRef
219.
Pessaux P, Tuech JJ, Derouet N, Rouge C, Regenet N, Arnaud JP (2000) Laparoscopic cholecystectomy in the elderly: a prospective study, Surg Endosc 14: 1067–1069PubMed
220.
Pessaux P, Tuech JJ, Rouge C, Duplessis R, Cervi C, Arnaud JP (2000) Laparoscopic cholecystectomy in acute cholecystitis. A prospective comparative study in patients with acute vs. chronic cholecystitis. Surg Endosc 14: 358–361PubMedCrossRef
221.
Prat F, Edery J, Meduri B, et al. (2001) Early EUS of the bile duct before endoscopic sphincterotomy for acute biliary pancreatitis. Gastrointest Endosc 54: 724–729PubMedCrossRef
222.
223.
Pugliese R, Di Lernia S, Sansonna F, Scandroglio I, Maggioni D, Ferrari C, Costanzi A, Chiara O (2004) Laparoscopic treatment of sigmoid diverticulitis: a retrospective review of 103 cases. Surg Endosc 18: 1344–1348PubMedCrossRef
224.
Rau HG, Meyer G, Maiwald G, Schardey M, Merkle R, Lange V, Schildberg FW (1994) Konventionelle oder laparoskopische Cholecystektomie zur Behandlung der akuten Cholecystitis? Chirurg 65: 1121–1125PubMed
225.
Reiertsen O, Rosseland AR, Hoivik B, Solheim K (1985) Laparoscopy in patients admitted for acute abdominal pain. Acta Chir Scand 151: 52–524
226.
Renz BM, Feliciano DV (1995) Unnecessary laparotomies for trauma; a prospective study of morbidity. J Trauma 38: 350–356PubMed
227.
Rhodes M, Sussman L, Cohen L, Lewis MP (1998) Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 351: 159–161PubMedCrossRef
228.
Ricci F, Castaldini G, de Manzoni G, Botzellino G, Rodella L, Kind R (1997) Minimally invasive treatment of acute biliary pancreatitis. Surg Endosc 11: 1179–1182PubMedCrossRef
229.
Romagnuolo J, Currie G (2005) Noninvasive vs. selective invasive biliary imaging for acute biliary pancreatitis: an economic evaluation by using decision tree analysis. Gastrointest Endosc 61: 86–87PubMedCrossRef
230.
Rutledge D, Jones D, Reqe R (2000) Consequences of delay in surgical treatment of biliary disease. Am J Surg 180: 466–469PubMedCrossRef
231.
Salky BA, Edye MB (1998) The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc 12: 911–914PubMedCrossRef
232.
Sanna A, Adani GL, Anania G, Donini A (2003) The role of laparoscopy in patients with suspected peritonitis: experience of a single institution. J Laparoendosc Adv Surg Tech A 13: 17–19PubMedCrossRef
233.
Sauerland S, Lefering R, Neugebauer E (2004) Laparoscopic versus open surgery for suspected appendicitis [Cochrane Review]. In: the Cochrane Collaboration (ed). The cochrane database of systematic reviews, Vol. IV/2004 [CD-ROM]. Oxford Update Software
234.
Scheiman JM, Carlos RC, Barnett JL, Elta GH, Nostrant TT, Chey WD, Francis IR, Nandi PS (2001) Can endoscopic ultrasound or magnetic resonance cholangiopancreatography replace ERCP in patients with suspected biliary disease? A prospective trial and cost analysis. Am J Gastroenterol 96: 2900–2904PubMedCrossRef
235.
Schlachta CM, Mamazza J, Poulin EC (1999) Laparoscopic sigmoid resection for acute and chronic diverticulitis. An outpomes comparison with laparoscopic resection for nondiverticular disease. Surg Endosc 13: 649–653PubMedCrossRef
236.
Schrenk P, Woisetschlager R, Wayand WU, Rieger R, Sulzbacher H (1994) Diagnostic laparoscopy: a survey of 92 patients. Am J Surg 168: 348–351PubMedCrossRef
237.
Schroder T, Sainio V, Kivisaari L, Puolakkainen P, Kivilaakso E, Lempinen M (1991) Pancreatic resection versus peritoneal iavage in acute necrotizing pancreatitis. A prospective randomized trial. Ann Surg 214: 663–666PubMedCrossRef
238.
Schwandner O, Farke S, Fischer F, Eckmann C, Schiedeck TH, Bruch HP (2004) Laparoscopic colectomy for recurrent and complicated diverticulitis: a prospective study of 396 patients, Langenbecks Arch Surg 389: 97–103PubMedCrossRef
239.
Scierskl A (2004) Laparoscopic operations of incarcerated inguinal and femoral hernias. Wiad Lek 57: 245–248PubMed
240.
Seelig MH, Seelig SK, Behr C, Schonleben K (2003) Comparison between open and lapardscopic technique in the management of perforated gastroduodenal ulcers. J Clin Gastroenterol 37: 226–229PubMedCrossRef
241.
Senapati PS, Bhattarcharya D, Harinath G, Ammori BJ (2003) A survey of the timing and approach to the surgical management of cholelithiasis in patients with acute biliary pancreatitis and acute cholecystitis in the UK. Ann R Coll Surg Engl 85: 306–312PubMedCrossRef
242.
Serralta AS, Bueno JL, Planells MR, Rodero DR (2003) Prospective evaluation of emergency versus delayed laparoscopic cholecystectomy for early cholecystitis. Surg Laparosc Endosc Percutan Tech 13: 71–75PubMedCrossRef
243.
Shalaby R, Desoky A (2001) Laparoscopic approach to small intestinal obstruction in children: a preliminary experience. Surg Laparosc Endosc Percutan Tech 11: 301–305PubMedCrossRef
244.
Siu WT, Chau CH, Law BK, Tang CN, Ha PY, Li MK (2004) Routine use of laparoscopic repair for perforated peptic ulcer. Br J Surg 91: 481–484PubMedCrossRef
245.
Siu WT, Law BK, Tang CN, Chau CH, Li MK (2003) Laparoscopic management of omental torsion secondary to an occult inguinal hernia. J Laparoendosc Adv Surg Tech A 13: 199–201PubMedCrossRef
246.
Siu WT, Leong HT, Law BKB, Chau CH, Li ACN, Fung KH, Tai YP, Li MKW (2002) Laparoscopic repair for perforated peptic ulcer: a randomized controlled trial. Ann Surg 235: 313–319PubMedCrossRef
247.
Siu WT, Leong HT, Li MK (1997) Single stitch laparoscopic omental patch repair of perforated peptic ulcer. J R Coll Surg Edinb 42: 92–94PubMed
248.
Smith CH, Novick TL, Jacobs DG, Thomason MH (2000) Laparoscopic repair of a ruptured diaphragm secondary to blunt trauma. Surg Endosc 14: 501–502PubMed
249.
Smith RS, Fry WR, Morabito DJ, Koehler RH, Organ CH, Jr (1995) Therapeutic laparoscopy in trauma. Am J Surg 170: 632–637PubMedCrossRef
250.
Sø JBY, Kum CK, Fernanes ML, Goh P (1996) Comparison between laparoscopic and conventional omental patch repair for perforated duodenal ulcer. Surg Endosc 10: 1060–1063PubMedCrossRef
251.
Soper DE (1991) Diagnosis and laparoscopic grading of acute salpingitis, Am J Obstet Gynecol 164: 1370–1376PubMed
252.
Sözüer EM, Bedirli A, Ulusal M, Kayhan E, Yilmaz Z (2000) Laparoscopy for diagnosis and treatment of acute abdominal pain. J Laparoendosc Adv Surg Tech A 10: 203–207PubMedCrossRef
253.
Sreenarasimhaiah J (2003) Diagnosis and management of intestinal ischaemic disorders, Br Med J 326: 1372–1376
254.
Strickland P, Lourie DJ, Suddleson EA, Blitz JB, Stain SC (1999) Is laparoscopy safe and effective for treatment of acute small-bowel obstruction? Surg Endosc 13: 695–698PubMedCrossRef
255.
Suc B, Escat J, Cherqui P, Fourtanier G, Hay JM, Fingerhut A, Millat B French Associations for Surgical Research (1998) Surgery endoscopy as primary treatment in symptomatic patients with suspected common bile duct stones; a multicenter randomized trial. Arch Surg 133: 702–708PubMedCrossRef
256.
Sugarbaker PH, Sanders JH, Bloom BS, Wilson RE (1975) Preoperative laparoscopy in diagnosis of acute abdominal pain. Lancet 1: 442–445PubMedCrossRef
257.
Sugiyama M, Tokuhara M, Atomi Y (1998) Is percutaneous cholecystostorpy the optimal treatment for acute cholecystitis in the very elderly? World J Surg 22: 459–463PubMedCrossRef
258.
Suter M, Meyer A (2001) A 10-year experience with the use of laparoscopic cholecystectomy for acute cholecystitis: is it safe? Surg Endosc 15: 1187–1192PubMedCrossRef
259.
Suter M, Zermatten P, Halkic N, Martinet O, Bettschart V (2000) Laparoscopic management of mechanical small bowel obstruction: are there predictors of success or failure? Surg Endosc 14: 478–483PubMedCrossRef
260.
Sutton CJG, Pooley AS, Ewen SP, Haines P (1997) Follow-up report on a randomized controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal to moderate endometriosis. Fertil Steril 68: 1070–1074PubMedCrossRef
261.
Suzuki K, Umehara Y, Kimura T (2003) Elective laparoscopy for small bowel obstruction. Surg Laparosc Endosc Percutan Tech 13: 254–256PubMedCrossRef
262.
Swank DJ, Swank-Bordewijk SC, Hop WC, van Erp WF, Janssen IM, Bonjer HJ, Jeekel J (2003) Laparoscopic adhesiolysis in patients with chronic abdominal pain: a blinded randomised controlled multi-centre trial, Lancet 361: 1247–1251PubMedCrossRef
263.
Targarona EM, Balague C, Espert JJ, Perez Ayuso RM, Ros E, Navarro S, Bordas J, Teres J, Trias M (1995) Laparoscopic treatment of acute biliary pancreatitis, Int Surg 80: 365–368PubMed
264.
Taylor EW, Kennedy CA, Dunham RH, Bloch JH (1995) Diagnostic laparoscopy in women with acute abdominal pain. Surg Laparosc Endosc 5: 125–128PubMed
265.
Teague WJ, Ackroyd R, Watson DI, Devitt PG (2000) Changing patterns in the management of gastric volvulus over 14 years. Br J Surg 87: 353–361CrossRef
266.
Teh SH, O’Ceallaigh S, McKeon JG, O’Donohoe MK, Tanner WA, Keane FB (2000) Should an appendix that look “normal” be removed at diagnostic laparoscopy for acute right iliac fossa pain? Eur J Surg 166: 388–389PubMed
267.
Teisala K, Heinonen PK, Punnonen R, (1990) Laparoscopic diagnosis and treatment of acute pyosalpinx. J Reprod Med 35: 19–21PubMed
268.
Teixeira JP, Saraiva AC, Cabral AC, Barros H, Reis JR, Teixeira A (2000) Conversion factors in laparoscopic cholecystectomy for acute cholecystitis. Hepatogastroenterology 47: 626–630PubMed
269.
Trias M, Targarona EM, Ros E, Bordas JM, Perez Ayuso RM, Balague C, Pros I, Teres J (1997) Prospective evaluation of a minimally invasive approach for treatment of bile-duct calculi in the high-risk patient. Surg Endosc 11: 632–635PubMedCrossRef
270.
Trowbridge RL, Rutkowski NK, Shojania KG (2003) Does this patient have acute cholecystitis? J Am Med Assoc 289: 80–86CrossRef
271.
Tschudi J, Wagner M, Klaiber C (1993) Laparoskopische Operation einer incarcerierten Obturatoriushernie mit assistierter Darmresektion. Chirurg 64: 827–828PubMed
272.
Tsumura H, Ichikawa T, Hiyama E, Murakami Y (2004) Laparoscopic and open approach in perforated peptic ulcer. Hepatogastroenterology 51: 1536–1539PubMed
273.
Uchiyama K, Onishi H, Tani M, Kinoshita H, Ueno M, Yamaue H (2004) Timing of laparoscopic cholecystectomy for acute cholecystitis with cholecystolithiasis. Hepatogastroenterology 51: 346–348PubMed
274.
Uhl W, Müller CA, Krähenbühl L, Schmid SW, Scholzel S, Büchler MW (1999) Acute gallstone pancreatitis: timing of laparoscopic cholecystectomy in mild and severe disease. Surg Endosc 13: 1070–1076PubMedCrossRef
275.
UK Working Party, on Acute Pancreatitis (2005) UK guidelines for the management of acute pancreatitis. Gut 54:iii1–iii9CrossRef
276.
Urbach DR, Khajanch YS, Jobe BA, Standage BA, Hansen PD, Swanstrom LL (2001) Cost-effective management of common bile duct stones: a decision analysis of the use of endoscopic retrograde cholangiopancreatography (ERCP), intraoperative cholangiography, and laparoscopic bile duct exploration. Surg Endosc 15: 4–13PubMedCrossRef
277.
van Dalen R, Bagshaw PF, Dobbs BR, Robertson GM, Lynch AC, Frizelle FA (2003) The utility of laparoscopy in the diagnosis of acute appendicitis in women of reproductive age. Surg Endosc 17: 1311–1313PubMedCrossRef
278.
van den Broek WT, Bijnen AB, de Ruiter P, Gouma DJ (2001) A normal appendix found during diagnostic laparoscopy should not be removed. Br J Surg 88: 251–254PubMedCrossRef
279.
Vermesh M, Silva PD, Rosen GF, Stein AL, Fossum GT, Sauer MV (1989) Management of ruptured ectopic gestation by linear salpingostomy: a prospective, randomized clinical trial of laparoscopy versus laparotomy. Obstet Gynecol 73: 400–404PubMed
280.
Vetrhus M, Soreide O, Nesvik I, Sondenaa K (2003) Acute cholecystitis: delayed surgery or observation. A randomized clinical trial. Scand J Gastroenterol 38: 985–990PubMedCrossRef
281.
Villavicencio RT, Aucar JA (1999) Analysis of laparoscopy in trauma. J Am Coll Surg 189: 11–20PubMedCrossRef
282.
Waclawiczek HW, Schneeberger V, Bekk A, Dinnewitzer A, Sungler P, Boeckl O (1997) Der Stellenwert der diagnostischen Laparoskopie und minimal-invasiver Verfahren beim akuten Abdomen. Zentralbl Chir 122: 1108–1112PubMed
283.
Watson SD, Saye W, Hollier PA (1993) Combined laparoscopic incarcerated herniorrhaphy and small bowel resection. Surg Laparosc Endosc 3: 106–108PubMed
284.
Williams SB, Greenspon J, Young HA, Orkin BA (2005) Small bowel obstruction: conservative vs. surgical management Dis Colon Rectum 48: 1140–1146PubMedCrossRef
285.
Willsher PC, Sanabria JR, Gallinger S, Rossi L, Strasberg S, Litwin DE (1999) Early laparoscopic cholecystectomy for acute cholecystitis: a safe procedure. J Gastrointest Surg 3: 50–53PubMedCrossRef
286.
Wilson RG, Macintyre IM, Nixon SJ, Saunders JH, Varma JS, King PM (1992) Laparoscopic cholecystectomy as a safe and effective treatment for severe acute cholecystitis. Br Med J 305: 394–396
287.
Wolfman WL, Kreutner K (1984) Laparoscopy in children and adolescents. J Adolesc Health Care 5: 261–265PubMedCrossRef
288.
Wong SK, Yu SC, Lam YH, Chung SS (1999) Percutaneous cholecystostomy and endoscopic cholecystolithotripsy in the management of acute cholecystitis. Surg Endosc 13: 48–52PubMedCrossRef
289.
Wullstein C, Gross E (2003) Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction, Br J Surg 90: 1147–1151PubMedCrossRef
290.
Yau KK, Siu WT, Chau CH, Yang PC, Li MK (2005) Laparoscopic management of incarcerated obturator hernia, Can J Surg 48: 76–77PubMed
291.
Yuen PM, Yu KM, Yip SK, Lau WC, Rogers MS, Chang A (1997) A randomized prospective study of laparoscopy tand laparotomy in the management of benign ovarian masses. Am J Obstet Gynecol 177: 109–114PubMedCrossRef
292.
Zamir G, Reissman P (1998) Diagnostic laparoscopy in mesenteric ischemia. Surg Endosc 12: 390–393PubMedCrossRef
293.
Zantut LF, Ivatury RR, Smith RS, Kawahara NT, Porter JM, Fry WR, Poggetti R, Birolini D, Organ CH Jr. (1997) Diagnostic and therapeutic laparoscopy for penetrating abdominal trauma: a multicenter experience. J Trauma 42: 825–831PubMedCrossRef
294.
Zeitoun G, Laurent A, Rouffet F, Hay J, Fingerhut A, Paquet J, Peillon C; Association de Recher che en Chirurgie (2000) Multicentre, randomized clinical trial of primary versus secondary moid resection in generalized peritonitis complicating sigmoid diverticulitis. Br J Surg 87: 1366–1374PubMedCrossRef
295.
Z’Graggen K, Metzger A, Birrer S, Klaiber C (1995) Die laparoskopische Cholecystektomie als Standardtherapie bei der akuten Cholecystitis. Eine prospektive Studie. Chirurg 66: 366–370PubMed
296.
Zhang J, Duan ZQ, Song QB, Luo YW, Xin SJ, Zhang Q (2004) Acute mesenteric venous thrombosis: a better outcome achieved through improved imaging techniques and a changed policy of clinical management. Eur J Vase Endovasc Surg 28: 329–334CrossRef
297.
Zhu JF, Fan Zhang XH (2001) Laparoscopic treatment of severe acute pancreatitis. Surg Endosc 15: 146–148PubMedCrossRef
298.
Zittel TT, Jehle EC, Becker HD (2000) Surgical management of peptic ulcer disease today—indication, technique and outcome. Langenbecks Arch Surg 385: 84–96PubMedCrossRef
Metadaten
Titel
Laparoscopy for abdominal emergencies
Evidence-based guidelines of the European Association for Endoscopic Surgery
verfasst von
S. Sauerland
F. Agresta
R. Bergamaschi
G. Borzellino
A. Budzynski
G. Champault
A. Fingerhut
A. Isla
M. Johansson
P. Lundorff
B. Navez
S. Saad
E. A. M. Neugebauer
Publikationsdatum
01.01.2006
Erschienen in
Surgical Endoscopy / Ausgabe 1/2006
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-005-0564-0

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