Topic Highlight
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 14, 2016; 22(2): 668-680
Published online Jan 14, 2016. doi: 10.3748/wjg.v22.i2.668
Advances in laparoscopy for acute care surgery and trauma
Matteo Mandrioli, Kenji Inaba, Alice Piccinini, Andrea Biscardi, Massimo Sartelli, Ferdinando Agresta, Fausto Catena, Roberto Cirocchi, Elio Jovine, Gregorio Tugnoli, Salomone Di Saverio
Matteo Mandrioli, Alice Piccinini, Andrea Biscardi, Elio Jovine, Gregorio Tugnoli, Salomone Di Saverio, Department of Emergency and General Surgery and Trauma Surgery Unit, C. A. Pizzardi Maggiore Hospital Trauma Center, 40133 Bologna, Italy
Kenji Inaba, Division of Trauma Surgery and Surgical Critical Care, Department of Surgery, University of Southern California, Los Angeles, CA 90033, United States
Massimo Sartelli, Department of Surgery, Macerata Hospital, 62100 Macerata, Italy
Ferdinando Agresta, Department of Surgery, Adria Hospital, 45011 Adria, Rovigo, Italy
Fausto Catena, Department of Emergency and Trauma Surgery, Maggiore Hospital, 43126 Parma, Italy
Roberto Cirocchi, Departement of Digestive Surgery and Liver Unit, St. Maria Hospital, 05100 Terni, Perugia, Italy
Author contributions: Mandrioli M and Di Saverio S designed the study; Mandrioli M wrote the paper; Di Saverio S provided patients’ pictures and clinical cases from his own surgical procedures; Di Saverio S operated on all the patients included in the study; all authors performed the research and revised the manuscript; Inaba K edited the language.
Conflict-of-interest statement: The authors have nothing to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Salomone Di Saverio, MD, FACS, FRCS, Department of Emergency and General Surgery and Trauma Surgery Unit, C. A. Pizzardi Maggiore Hospital Trauma Center, Largo B. Nigrisoli 2, 40133 Bologna, Italy. salomone.disaverio@gmail.com
Telephone: +39-51-3172408 Fax: +39-51-6478412
Received: April 28, 2015
Peer-review started: May 7, 2015
First decision: July 21, 2015
Revised: September 10, 2015
Accepted: November 19, 2015
Article in press: November 19, 2015
Published online: January 14, 2016
Processing time: 253 Days and 16 Hours
Core Tip

Core tip: Although laparoscopy today represents the undisputed standard of care for the treatment of acute cholecystitis and appendicitis worldwide, laparoscopy for emergency surgery is still considered challenging and not recommended due to the lack of adequate experience and/or appropriate laparoscopic skills. However, the potential advantages of laparoscopy, both in terms of diagnosis and therapy, are clear. Like complicated appendicitis and cholecystitis, major advantages may be observed in cases with diffuse peritonitis secondary to perforated peptic ulcers, acute diverticulitis and many other often traumatic emergency conditions.