British Journal of Anaesthesia ; – Gasless laparoscopic cholecystectomy: comparison of postoperative recovery with conventional technique. This interesting treatise begins with a well-done historical review of laparoscopy. The disadvantages of carbon dioxide pneumoperitoneum, some real and some. PDF | On Dec 1, , L Angelini and others published Gasless laparoscopy.
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Open in a separate window. Patients with acute abdomen, traumatic or not, where diagnosis is uncertain, in the setting of 13 With both techniques used, sample of the intraperitoneal fluid or biopsy could be obtained.
The role of gasless laparoscopy in differential diagnosis of acute abdomen
We describe our first experiences with laparoscopic surgery without using pneumoperitoneum. In such cases, diagnostic laparoscopy may solve the differential diagnostic laparosclpy.
Download the PDF to view the article, as well as its associated figures and tables. Both gasless systems gasleess the advantage of avoiding general anesthesia, requiring only local or regional anesthesia. Of these eight cases without diagnosis, five involved multiple trauma with symptoms of acute abdomen, in which we could not identify any pathological findings by gasless laparoscopy.
Six times, we had to change the surgical procedure. Chirurgia laparoscopica de urgenta. The indications for the procedures are fasless in Table 1. The method is not novel, but is currently revalorized in the above described context, and used more frequently. Not only special laparoscopic instruments, but the hasless instruments, used in open surgery, can also be employed in gasless laparoscopy.
Compared to the traditional procedure with a CO2 pneumoperitoneum, the results of the first gasless procedures demonstrate potential advantages.
Gasless laparoscopy in abdominal surgery.
Gasless laparoscopy performed by both methods has some disadvantages as well. Randomised comparison between low-pressure laparoscopic cholecystectomy and gasless laparoscopic cholecystectomy. The gaslews actually exists since when Eruheim made the first gasless laparoscopy. Also a study of Ge et al, in cases of appendectomies performed by gasless laparoscopy showed significantly decreased hospital costs 8.
Gasless laparoscopy in abdominal surgery.
Use of this technique, allows clarification of the diagnosis and also acquisition of the necessary information to determine the appropriate therapeutic approach. Create a free personal account to make a comment, download vasless article PDFs, sign up for alerts and more. The idea of gasless laparoscopy belongs to Eruheim who described it in Create a free personal account to access your subscriptions, sign up for alerts, and more. The other three cases involved intense abdominal pain, in older patients, with severe neurological and cardiological problems, in whom mesenteric ischemia was suspected, but was eventually excluded, without revealing though any obvious cause for the pain.
Then, the balloon is inflated and a 3. We did observe three wound infections as related complications. Tehnology-driven triage of abdominal trauma: In a larger study, Paolucci et al 1 laparosckpy the gasless method in a group of 54 patients that underwent laparoscopic surgery achieving: After raising the abdominal wall, the scope is introduced through the same access and the laparoscopic procedure can be started without the technical and physiopathological problems which may occur using a pneumoperitoneum.
Create a free personal account to download free article PDFs, sign up for alerts, customize your interests, and more. Gasless lapparoscopy technique of wide excizion for gastric gastrointestinal stromal tumor versus open method. Critical patients with major anesthetic risk, 2. Purchase access Subscribe to the journal.
Articles from Llaparoscopy are provided here courtesy of Hippokratio General Hospital of Thessaloniki. Sign in to save your search Sign in to your personal account. Also, in our study two intraoperative complications occurred, that involved bleeding after hepatic biopsy with the LapVision system.