Laparosc Endosc Surg Sci . 2020; 27(3): 151-155 | DOI: 10.14744/less.2020.04657

Laparoscopy in non–traumatic emergency general surgery operations

Serdar Kýrmýzý
Department of Gastrointestinal Surgery, Yozgat City Hospital, Yozgat, Turkey

INTRODUCTION: Laparoscopic surgery is currently a standard treatment procedure for many elective surgery cases. Laparoscopic surgery has been increasingly preferred in emergency general surgery operations. This study aims to investigate the importance of emergency laparoscopic surgery in a secondary hospital.
METHODS: The study was conducted retrospectively at Yozgat City Hospital General Surgery Service between January 2018 and March 2020. Patients who underwent non-traumatic emergency surgery were included in the study. The cases who underwent laparoscopic surgery were determined.
RESULTS: Of the 768 patients who underwent emergency surgery, 732 were non-traumatic cases. It was found that laparoscopic surgery was performed in 62.8% of appendectomy cases, 75% of cholecystectomies, 66.6% of diverting stoma operations, 8.3% of brid ileus cases, 11.1% of incarcerated/strangulated hernias and 11.1% of peptic ulcer perforations.
DISCUSSION AND CONCLUSION: Laparoscopic surgery is more preferred in appendectomy, cholecystectomy, and diverting stoma operations. In order for other patient groups to benefit from the advantages of minimally invasive surgery, in the emergency laparoscopic surgical experience of surgeons should be increased during their residency.

Keywords: Acute abdomen, emergency laparoscopy; minimally invasive surgery; secondary hospital.

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Travmatik Olmayan Acil Genel Cerrahi Operasyonlarýnda Laparoskopinin Yeri

Serdar Kýrmýzý
Gastroenteroloji cerrahi, Yozgat Þehir Hastanesi, Yozgat.

GÝRÝÞ ve AMAÇ: Laparoskopik cerrahi günümüzde birçok elektif cerrahi vakalarýnýn standart bir tedavi yöntemidir. Acil genel cerrahi ameliyatlarýnda da laparoskopik cerrahi tercihi giderek artmaktadýr. Bu çalýþmanýn amacý ikinci basamak bir hizmet hastanesinde acil laparokopik cerrahinin yerini araþtýrmaktýr.
YÖNTEM ve GEREÇLER: Çalýþma Ocak 2018-Mart 2020 tarihleri arasýnda Yozgat Þehir Hastanesi Genel Cerrahi Servisinde retrospektif olarak gerçekleþtirildi. Non-travmatik acil cerrahi giriþim uygulanan hastalar çalýþmaya alýndý. Laparoskopik cerrahi uygulanan vakalar belirlendi.
BULGULAR: Acil ameliyat edilen 768 hastanýn 732’ini non travmatik vakalar oluþturmaktaydý. Appendektomi vakalarýnýn % 62.8’inde, kolesistektomilerin % 75 ‘inde, saptýrýcý stoma ameliyatlarýnýn % 66.6’sýnda, brid ileus vakalarýnýn % 8.3’ünde, inkarsere/strangule hernilerin % 2.92’unda ve peptik ülser perforasyonlarýnýn % 11.1’inde laparoskopik cerrahinin uygulandýðý saptandý.
TARTIÞMA ve SONUÇ: Appendektomi, kolesistektomi ve saptýrýcý stoma ameliyatlarýnda laparoskopik cerrahi daha fazla tercih edilmektedir. Diðer hasta gruplarýnýn minimal invazif cerrahinin avantajlarýndan faydalanmasý için uzmanlýk eðitimi süresince cerrahlarýn acil laparoskopik cerrahi tecrübesi artýrýlmalýdýr.

Anahtar Kelimeler: Akut karýn, acil laparoskopi, minimal invazif cerrahi, ikinci basamak hastane.

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