SEARCHGUIDELINESsurgery, gastroenterology

guidelines·surgery, gastroenterology, emergency medicine, critical care, obstetrics and gynecology·PMC10481450

The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I

Videosurgery and other Miniinvasive Techniques · 27 authors, 11 centres

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TL;DR

This document provides evidence-based clinical guidelines on the use of laparoscopy for various acute abdominal emergencies, developed through a literature review and expert consensus. The central conclusion is that laparoscopy is the preferred surgical method in emergency settings when performed by experienced surgeons.

Full summary

583 CHARS

The guidelines contain 63 recommendations across 12 sections. The first part presented here covers diagnostic laparoscopy, perforated ulcer, acute pancreatitis, incarcerated hernia, and acute cholecystitis. A key overall conclusion is that laparoscopy is the preferred method in the emergency setting, assuming appropriate surgeon experience and adherence to safety rules including conversion to laparotomy. The recommendations are general and require individual clinical adaptation. The Delphi process resulted in all recommendations receiving strong acceptance, with no rejections.

STUDY TYPE

guidelines

SPECIALTY

surgery

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10481450

The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I

Videosurgery and other Miniinvasive Techniques

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ABSTRACT

Introduction Over the past three decades, almost every type of abdominal surgery has been performed and refined using the laparoscopic technique. Surgeons are applying it for more procedures, which not so long ago were performed only in the classical way. The position of laparoscopic surgery is therefore well established, and in many operations it is currently the recommended and dominant method. Aim The aim of the preparation of these guidelines was to concisely summarize the current knowledge on laparoscopy in acute abdominal diseases for the purposes of the continuous training of surgeons and to create a reference for opinions. Material and methods The development of these recommendations is based on a review of the available literature from the PubMed, Medline, EMBASE and Cochrane Library databases from 1985 to 2022, with particular emphasis on systematic reviews and clinical recommendations of recognized scientific societies. Recommendations were formulated in a directive form and evaluated by a group of experts using the Delphi method. Results and conclusions There are 63 recommendations divided into 12 sections: diagnostic laparoscopy, perforated ulcer, acute pancreatitis, incarcerated hernia, acute cholecystitis, acute appendicitis, acute mesenteric ischemia, abdominal trauma, bowel obstruction, diverticulitis, laparoscopy in pregnancy, and postoperative complications requiring emergency surgery. Each recommendation was supported by scientific evidence and supplemented with expert comments. The guidelines were created on the initiative of the Videosurgery Chapter of the Association of Polish Surgeons and are recommended by the national consultant in the field of general surgery. The first part of the guidelines covers 5 sections and the following challenges for surgical practice: diagnostic laparoscopy, perforated ulcer, acute pancreatitis, incarcerated hernia and acute cholecystitis. Contraindications for laparoscopy and the ERAS program are discussed.

CITATION EXPORT

Jacek Sobocki, Michał Pędziwiatr, Justyna Bigda et al.. The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I. Videosurgery and other Miniinvasive Techniques. (2023). https://doi.org/10.5114/wiitm.2023.127877

AUTHORS

27 · 11 CENTRES

Jacek Sobocki, Michał Pędziwiatr, Justyna Bigda, Wacław Hołówko, Piotr Major, Kryspin Mitura, Piotr Myśliwiec, Małgorzata Nowosad, Aneta Obcowska-Hamerska, Michał Orłowski, Monika Proczko-Stepaniak, Jacek Szeliga, Grzegorz Wallner, Marek Zawadzki, Tomasz Banasiewicz, Andrzej Budzyński, Adam Dziki, Michał Grąt, Marek Jackowski, Wojciech Kielan, Andrzej Matyja, Krzysztof Paśnik, Piotr Richter, Antoni Szczepanik, Mirosław Szura, Wiesław Tarnowski, Krzysztof Zieniewicz

1Chair and Department of General Surgery and Clinical Nutrition, Medical Center of Postgraduate Education Warsaw, Warsaw, Poland
22nd Department of General Surgery, Jagiellonian University, Collegium Medicum, Krakow, Poland
3Department of General, Endocrine and Transplant Surgery, University Medical Center, Medical University of Gdansk, Gdansk, Poland
4Department of General, Transplant and Liver Surgery, Medical University of Warsaw, Warsaw, Poland
5Faculty of Medical and Health Sciences, Siedlce University of Natural Sciences and Humanities, Siedlce, Poland
61st Department of General and Endocrine Surgery, Medical University of Bialystok, Bialystok, Poland
7Department of General, Vascular and Oncological Surgery, Medical University of Warsaw, Warsaw, Poland
8Department of General and Oncological Surgery, Florian Ceynowa Specialist Hospital, Wejherowo, Poland
9Department of General, Gastroenterological and Oncological Surgery, Collegium Medicum of the Nicolaus Copernicus University, Torun, Poland
102nd Department and Clinic of General, Gastroenterological and Cancer of the Digestive System Surgery, Medical University of Lublin, Lublin, Poland
11Department of Oncological Surgery, Provincial Specialist Hospital, Wroclaw, Poland