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Cited by 215Minimally Invasive Surgical TechniquesAppendicitis Diagnosis and ManagementAbdominal Surgery and Complications

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

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Agresta, Ferdinando, Ansaloni, Luca, Baiocchi, Gian Luca, Bergamini, Carlo, Campanile, Fabio Cesare, Carlucci, Michele, Cocorullo, Giafranco, Corradi, Alessio +20 more·2012·Surgical Endoscopy
DOI 10.1007/s00464-012-2331-3
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Abstract

Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases.Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association. In November 2010, the panel met in Rome to discuss each chapter according to the Delphi method, producing key statements with a grade of recommendations followed by commentary to explain the rationale and the level of evidence behind the statements. Thereafter, the statements were presented to the Annual Congress of the EAES in June 2011.Results A thorough literature review was necessary to assess whether the recommendations issued in 2006 are still current. In many cases new studies allowed us to better clarify some issues (such as for diverticulitis, small bowel obstruction, pancreatitis, hernias, trauma), to confirm the key role of laparoscopy (such as for cholecystitis, gynecological disorders, nonspecific abdominal pain, appendicitis), but occasionally previous strong recommendations have to be challenged after review of recent research (such as for perforated peptic ulcer).Conclusions Every surgeon has to develop his or her own approach, taking into account the clinical situation, her/his proficiency (and the experience of the team) with the various techniques, and the specific organizational setting in which she/he is working. This guideline has been developed bearing in mind that every surgeon could use the data reported to support her/his judgment.

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Crossref · 10.1007/s00464-012-2331-3

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  • The European Association for Endoscopic Surgery (EAES) consensus states that there is no published data demonstrating advantages in the diagnosis and treatment of acute bowel ischemia by laparoscopy.

    “The European Association for Endoscopic Surgery (EAES) consensus for the laparoscopic approach to the acute abdomen states that there is no published data demonstrating advantages in the diagnosis and treatment of acute bowel ischemia by laparoscopy [95].”

    From Acute mesenteric ischemia: updated guidelines of the World Society of Emergency Surgery. (2022) · cites this paper as [95]

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  1. Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Bud- zynsky A, Champault G, Fingerhut A, Isla A, Johansson M, Lundorff P, Navez B, Saad S, Neugebauer EA (2006) Lapa- roscopy for abdominal emergencies: evidence based guidelines of the European Association for Endoscopic Surgery. Surg En- dosc 20(1):14-29
  2. Yadav RP, Adhikary S, Agrawal CS, Bhattarai B, Gupta RK, Ghimire A (2009) Kathmandu Univ Med J (KUMJ) 7(25):16-20
  3. Kapischke M, Caliebe A, Tepel J, Schulz T, Hedderich J (2006) Open versus laparoscopic appendectomy: a critical review. Surg Endosc 20:1060-1068 106.
  4. Walsh CA, Tang T, Walsh SR (2008) Laparoscopic vs open appendectomy in pregnancy: a systematic review. Int J Surg 6:339-344 108.
  5. Mainik F, Flade-Kuthe R, Kuthe A (2005) Total extraperitoneal endoscopic hernioplasty (TEP) in the treatment of incarcerated and irresponsible inguinal and femoral hernias. Zentralbl Chir 130(6):550-553 273.
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  7. Gorgun E, Onur E, Baca B, Apaydin B, Yavuz N, Sirin F (2003) Laparoscopic repair of an internal supravesical hernia: a rare hernia causing small bowel obstruction. Surg Endosc 17(4):659 298.
  8. Omori H, Asahi H, Inoue Y, Irinoda T, Saito K (2003) Lapa- roscopic paracecal hernia repair. J Laparoendosc Adv Surg Tech A 13(1):55-57 313.
  9. Associazione Chirurghi Ospedalieri Italiani (ACOI) (2010) Proceedings of the Il trattamento laparoscopico del laparocele. 1 Consensus Conference Italiana (The laparoscopic treatment of hernia: a clear consensus? 1, Consensus Conference on the Laparoscopic Treatment of Hernia), Napoli, 14-15 January 2010 319.
  10. Steinbrook RA, Brooks DC, Datta S (1996) Laparoscopic cho- lecystectomy during pregnancy. Surg Endosc 10(5):511-515 412.

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Authors
Agresta, F., Ansaloni, L., Baiocchi, G. L., Bergamini, C., Campanile, F. C., Carlucci, M., Cocorullo, G., Corradi, A., Franzato, B., Lupo, M., Mandalà, V., Mirabella, A., Pernazza, G., Piccoli, M., Staudacher, C., Vettoretto, N., Zago, M., Lettieri, E., Levati, A., Pietrini, D., Scaglione, M., De Masi, S., De Placido, G., Francucci, M., Rasi, M., Fingerhut, A., Uranüs, S., & Garattini, S.
Affiliations
  • Azienda Ospedaliero-Universitaria delle Marche (IT)
  • University of Brescia (IT)
  • Azienda Ospedaliero-Universitaria Careggi (IT)
  • Ospedale di Civita Castellana (IT)
  • IRCCS Ospedale San Raffaele (IT)
  • Ospedale di Bolzano (IT)
  • Ospedale San Giacomo Apostolo (IT)
  • Ospedale Vincenzo Cervello (IT)
  • Azienda Ospedaliera San Giovanni Addolorata (IT)
  • Politecnico di Milano (IT)
  • Azienda Socio Sanitaria Territoriale di Pavia (IT)
  • Università Cattolica del Sacro Cuore (IT)
  • Azienda Ospedaliera S.Maria (IT)
  • Hippocration General Hospital (GR)
  • University of Graz (AT)
  • Mario Negri Institute for Pharmacological Research (IT)
Corresponding author
Agresta, Ferdinando
ORCID
Venue
Surgical Endoscopy
Publisher
Springer Science and Business Media LLC
Published
2012-06-27
Volume
26
Issue
8
Pages
2134-2164
ISSN
  • 0930-2794 (ISSN-L)
  • 1432-2218
DOI
10.1007/s00464-012-2331-3
OpenAlex
W2006991975
Cited by
215
References
429
Citations by year
2026: 5 · 2025: 6 · 2024: 9 · 2023: 18 · 2022: 6 · 2021: 25 · 2020: 11 · 2019: 11 · 2018: 15 · 2017: 14 · 2016: 39 · 2015: 18 · 2014: 18 · 2013: 16 · 2012: 3
FWCI
17.91
Type
journal article
Language
en
Open access
Licence
Locations
  • Surgical Endoscopy (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion)
  • Nova Science Publishers (Nova Science Publishers, Inc.) (submittedVersion, other-oa)
  • UnissResearch (Università degli Studi di Sassari) (submittedVersion)
  • Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Abdominal Surgery and Complications
Keywords
laparoscopic surgery, acute abdomen, abdominal emergencies, appendicitis, cholecystitis, diverticulitis, small bowel obstruction, pancreatitis, hernia, abdominal trauma, peptic ulcer perforation, non-specific abdominal pain, gynecological diseases
MeSH terms
Abdomen, Acute, Anesthesia, Digestive System Diseases, Emergency Treatment, Female, Genital Diseases, Female, Hemodynamics, Humans, Ischemia, Monitoring, Physiologic, Obesity, Laparoscopy, Positive-Pressure Respiration, Posture, Pregnancy, Pregnancy Complications, Respiratory Physiological Phenomena, Vascular Diseases, Randomized Controlled Trials as Topic, Patient Selection, Mesenteric Ischemia

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