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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Furthermore, an unlimited suction can be obtained without a loss of exposure. Please review our privacy policy. Critical patients with major anesthetic risk, 2.

The alternative actually exists since when Eruheim made the first gasless laparoscopy. Gasless Laparoscopy With Conventional Instruments: The differential diagnosis of acute abdomen remains a complex laparoscopj issue because, on one hand the patient involved could be already compromised and the time available for diagnosis limited, and on the other hand due to frequent lack of diagnostic means [computed tomography CTmagnetic resonance imaging MRIultrasonography US ].

Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. This aspect of the technique is particularly attractive, gaslss it may lower instrumentation costs and facilitate procedures.

Basically, the target patients for this type of investigation are: The idea of gasless laparoscopy belongs to Eruheim who described it in Gasless laparoscopic technique of wide excizion for gastric gastrointestinal stromal tumor versus open method.

Regarding the issue of gaslesss laparoscopic surgery, the available studies in the literature are relatively few and the largest series published are comparable to ours. Patients with acute abdomen, traumatic or not, where diagnosis is uncertain, in the setting of 13 Endosc Surg Allied Technol. Get free access to newly published articles.


Laparoscopy, gasless laparoscopy, emergency, contraindications. The midportion of the text is devoted to the application of the techniques to three areas of general surgery, the biliary tract, herniorrhaphy, and gasles resection.

Compared to the traditional procedure with a CO2 pneumoperitoneum, the results of the first gasless procedures demonstrate potential advantages. They were managed conservatively, with drainage and good post-operative outcomes. Table 1 Indications for gasless laparoscopy and number of cases for each indication.

Gasless Laparoscopy With Conventional Instruments: The Next Phase in Minimally Invasive Surgery

During anesthesia, neither increased ventilation nor increased gasldss pressure is necessary, and the surgeon has increased freedom of action. In Muhe achieved the first laparoscopic cholecystectomy without pneumoperitoneum.

Conflict of interest The authors declare no conflict of interest. Create a free personal account to download free article PDFs, sign up for alerts, and more. This study included 49 patients lalaroscopy were managed with gasless laparoscopy for the diagnosis of acute abdomen, from to Also, both allow the use of any ordinary tools for aspiration and drainage, making the technique cheap and easy to implement.

Number of cases diagnosed by gasless laparoscopy as distributed based on their diagnosis.

Gasless laparoscopy in abdominal surgery.

The combination of the risk of an open laparotomy and the relative high likelihood of negative findings when performed, creates the need for a better approach. Tehnology-driven triage of abdominal trauma: Regarding the anesthesia used in gasless laparoscopy, it can be either regional or local anesthesia. The retractor system used is described in detail and involves an intraabdominal device attached to a hydraulic lifting apparatus.


Hasless during carbon dioxide insufflation for therapeutic laparoscopy: Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more.

Thus in gasless laparoscopy, all described entry related complications can occur. Final diagnoses were established lxparoscopy 41 patients and are presented in detail in Figure 1while in eight patients no obvious cause was identified or existed. Three hospitals were included in this study: Paolucci V, Schaeff B eds.

Gasless laparoscopy in abdominal surgery.

Requiring only local or regional anesthesia, this technique could easily find application in diagnosis and treatment, while avoiding unnecessary laparotomies. In total, gasless laparoscopy was performed in 22 patients using the abdominal wall lifting method while in 27 patients using the LapVision system. 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.

Chirurgia laparoscopica de urgenta. The indications for the procedures are summarized in Table 1. We chose a sui-generis alternative, in which an incision is made about 2 cm from the base of the navel, the abdominal wall is afterwards raised with two Kocher clamps and the laparoscope is introduced in the abdominal cavity. In our study, there were five cases of infection at the site of the incision three cases of pelviperitonitis and two of perforated ulcer and one case of parietal hematoma.