Laparoscopic surgery for benign and malign diseases of the digestive system: Indications, limitations, and evidence
Identifieur interne : 001076 ( Main/Exploration ); précédent : 001075; suivant : 001077Laparoscopic surgery for benign and malign diseases of the digestive system: Indications, limitations, and evidence
Auteurs : Markus Alexander Küper ; Friederike Eisner ; Alfred Königsrainer ; Jörg GlatzleSource :
- World Journal of Gastroenterology : WJG [ 1007-9327 ] ; 2014.
Abstract
The laparoscopic technique was introduced in gastrointestinal surgery in the mid 1980s. Since then, the development of this technique has been extraordinary. Triggered by technical innovations (stapling devices or coagulation/dissecting devices), nowadays any type of gastrointestinal resection has been successfully performed laparoscopically and can be performed laparoscopically dependent on the patient’s condition. This summary gives an overview over 30 years of laparoscopic surgery with focus on today’s indications and evidence. Main indications remain the more common procedures,
Url:
DOI: 10.3748/wjg.v20.i17.4883
PubMed: 24803799
PubMed Central: 4009519
Affiliations:
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Since then, the development of this technique has been extraordinary. Triggered by technical innovations (stapling devices or coagulation/dissecting devices), nowadays any type of gastrointestinal resection has been successfully performed laparoscopically and can be performed laparoscopically dependent on the patient’s condition. This summary gives an overview over 30 years of laparoscopic surgery with focus on today’s indications and evidence. Main indications remain the more common procedures, <italic>e.g</italic>., appendectomy, cholecystectomy, bariatric procedures or colorectal resections. For all these indications, the laparoscopic approach has become the gold standard with less perioperative morbidity. Regarding oncological outcome there have been several high-quality randomized controlled trials which demonstrated equivalency between laparoscopic and open colorectal resections. Less common procedures like esophagectomy, oncological gastrectomy, liver and pancreatic resections can be performed successfully as well by an experienced surgeon. However, the evidence for these special indications is poor and a general recommendation cannot be given. In conclusion, laparoscopic surgery has revolutionized the field of gastrointestinal surgery by reducing perioperative morbidity without disregarding surgical principles especially in oncological surgery.</p></div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Eisner, Friederike" sort="Eisner, Friederike" uniqKey="Eisner F" first="Friederike" last="Eisner">Friederike Eisner</name><name sortKey="Glatzle, Jorg" sort="Glatzle, Jorg" uniqKey="Glatzle J" first="Jörg" last="Glatzle">Jörg Glatzle</name><name sortKey="Konigsrainer, Alfred" sort="Konigsrainer, Alfred" uniqKey="Konigsrainer A" first="Alfred" last="Königsrainer">Alfred Königsrainer</name><name sortKey="Kuper, Markus Alexander" sort="Kuper, Markus Alexander" uniqKey="Kuper M" first="Markus Alexander" last="Küper">Markus Alexander Küper</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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