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.

Author: Shamuro Jut
Country: Bahamas
Language: English (Spanish)
Genre: Medical
Published (Last): 1 February 2018
Pages: 451
PDF File Size: 7.85 Mb
ePub File Size: 2.62 Mb
ISBN: 358-4-78400-318-3
Downloads: 79371
Price: Free* [*Free Regsitration Required]
Uploader: Aralkis

In Muhe achieved the first laparoscopic cholecystectomy without pneumoperitoneum.

The role of gasless laparoscopy in differential diagnosis of acute abdomen

The disadvantages of carbon dioxide pneumoperitoneum, some real and some hypothetical, are noted. Number of cases diagnosed by gasless laparoscopy as distributed based on their diagnosis.

We did observe three wound infections as related complications. The indications for the procedures are summarized in Table 1. It is though under consideration, once our experience is advanced, to use this method for therapeutic applications in the future. LapVision system has the additional advantage that it does not exert traction on the abdominal wall 9 which results in reduced pain, its flexible trocar can be left in place for drainage, or for the possibility of an easy second look laparoscopy, and lsparoscopy the system allows the performance of biopsies through the biopsy channel attached to the trocar.

Gasless laparoscopy in abdominal surgery.

In such cases, diagnostic laparoscopy may solve the differential diagnostic problem. Table 1 Indications for gasless laparoscopy and number of cases for each indication. The retractor system used is described in detail and involves an intraabdominal device attached to a hydraulic lifting apparatus.

Purchase access Subscribe to JN Learning for one year. In this gasless laparoscopic procedure, simple valveless trocars and instruments can be used. Conflict of interest The authors declare no conflict of interest. Material and Methods Three hospitals were included in this study: Gasless laparoscopy is the laparoscopic procedure in which, instead of pneumoperitoneum, the operational space in the abdomen is created by various mechanical means that raise the abdominal wall.


Gasless Laparoscopy With Conventional Instruments: Gasless laparoscopy is a useful method for the differential diagnosis of acute abdomen causes in cases of extreme graveness and urgency.

Critical patients with major anesthetic risk, 2.

Gasless laparoscopy in abdominal surgery.

Specific to the laparolift system, increased post-operative pain of the anterior abdominal wall was observed, caused by laparosvopy mechanical lift. In these patients, gasless laparoscopy could be a valuable alternative. This article is only available in the PDF format. Endosc Surg Allied Technol. Both gasless systems have the advantage of avoiding general anesthesia, requiring only local or regional anesthesia.

Two techniques were laparoxcopy Basically, the target patients for this type of investigation are: Distension of the abdominal wall with the laparolift method is in a pyramid like shape that creates the effect of a tent and most importantly, can be painful The midportion of the text is devoted to the application of the techniques to three areas of general surgery, the biliary tract, herniorrhaphy, and bowel resection. Table 2 Treatment lapagoscopy on diagnosis made by gasless diagnostic laparoscopy.

There are, however, patients where pneumoperitoneum is contraindicated head trauma, brain tumors, etc.

Support Center Support Center. They were managed conservatively, with drainage and good post-operative outcomes. It has to be mentioned though that neither this technique is free of complications. Gasless laparoscopic technique of wide excizion for gastric gastrointestinal stromal tumor versus open method. Also, both allow the use of any ordinary tools for aspiration and drainage, vasless the technique cheap and easy to implement. Sign in to customize your interests Sign in to your personal account.

Download the PDF to view the article, as well as its associated figures and tables. Discussion The use of gasless laparoscopy has a number of advantages resulting from the lack of side effects and complications caused by the creation of pneumoperitoneum by CO 2 2.


The role of gasless laparoscopy in differential diagnosis of acute abdomen

Final diagnoses were established in 41 patients and are presented in detail in Figure 1while in eight patients no obvious cause was identified or existed. The aim of laparosocpy study is to put back into the spotlight, gasless laparoscopy in the differential diagnosis of acute abdomen and to underline the advantages of this simple, cheap and very useful technique, especially in patients that require prompt diagnosis and have relative or absolute contraindications to general anesthesia or pneumoperitoneum.

This study included 49 patients that were managed with gasless laparoscopy for the diagnosis of acute abdomen, from to Treatment followed in each case, depended on the diagnosis and is presented on Table 2.

In our study, there were five cases of infection at the site of the incision three cases of pelviperitonitis and two of perforated laparoscopj and one case of parietal hematoma. Get free access to newly published articles Create a personal account or sign in to: CopyrightHippokratio General Hospital of Thessaloniki.

Paolucci V, Schaeff B. In two of these patients, pain was reported at the trocar site 3 weeks after surgery. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account.

Thus in gasless laparoscopy, all described entry related complications can occur. This aspect of the technique is particularly attractive, since it may lower instrumentation costs and facilitate procedures. Low-pressure pneumoperitoneum laparoscopic surgery. Purchase access Subscribe to the journal.

The method is not novel, but is currently revalorized in the above described context, and used more frequently.