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Emergency Laparoscopy pp 185–201Cite as

Anaesthesia and Emergency Laparoscopy

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Abstract

It is already recognised that laparoscopic surgery produces less postoperative inflammation than open surgery, reducing surgical stress. There is less postoperative pain and respiratory compromise.

Anaesthetists and surgeons are treating patients who are increasingly elderly, with complex surgical histories, multiple comorbidities, undergoing combination therapy, or at a ‘high risk’ in emergency situations. These patients, above all, would benefit from a less invasive technique that involves fewer complications and shorter recovery times.

It is also clear that as a result of surgical techniques adopted and monitoring systems available, the real contraindications of laparoscopic surgery are increasingly less stringent and absolute.

Given the advantages that this type of surgery offers in terms of patient benefits, managing to offer it for urgent and emergency operations, in ‘high-risk’ patients or critical patients, is a challenge that must be faced. This requires a process of learning, training, and shared experience that must involve the anaesthetist as much as the surgeon. This is the only way to safely offer the advantages of laparoscopic procedures to complex patients too.

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Authors and Affiliations

  1. Anaesthesia and Intensive Care Unit, University of Ferrara, Ferrara, Italy

    Riccardo Ragazzi, Marco Tartaglione, Savino Spadaro, Antonio Gioia & Carlo Alberto Volta

Authors
  1. Riccardo Ragazzi
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  2. Marco Tartaglione
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  3. Savino Spadaro
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  4. Antonio Gioia
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  5. Carlo Alberto Volta
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Corresponding author

Correspondence to Carlo Alberto Volta .

Editor information

Editors and Affiliations

  1. Department of General Surgery, Azienda ULSS19 del Veneto, Adria, Italy

    Ferdinando Agresta

  2. AUSL Viterbo, Ospedale San Giovanni Decollato Andosill, Civita Castellana, Italy

    Fabio Cesare Campanile

  3. Dept of Morfology, Surgery and Experime, School of Medicine, Univ of Ferrara, Ferrara, Italy

    Gabriele Anania

  4. Careggi University Hospital, Florence, Italy

    Carlo Bergamini

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Ragazzi, R., Tartaglione, M., Spadaro, S., Gioia, A., Volta, C.A. (2016). Anaesthesia and Emergency Laparoscopy. In: Agresta, F., Campanile, F., Anania, G., Bergamini, C. (eds) Emergency Laparoscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-29620-3_14

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  • DOI: https://doi.org/10.1007/978-3-319-29620-3_14

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