LIMITATIONS OF VIDEOLAPAROSCOPIC SURGERY IN URGENCY AND EMERGENCY SITUATIONS: A LITERATURE REVIEW

• DOI: 10.22533/at.ed.1592612213104

• Palavras-chave: Laparoscopic surgery ; Urgency; Emergency; Limitations.

• Keywords: Laparoscopic surgery ; Urgency; Emergency; Limitations.

• Abstract:

  Goal:  To carry out the analysis and review of available articles on the application of Videolaparoscopic Surgery in urgent and emergency situations, highlighting its limitations and challenges in this context. Methodology: The study consists of a literature review carried out between June and August 2022, with a bibliographic survey in the following databases: PubMed, AnalysisAnd Retrieval System Online ( MedLine ); ScientificElectronic Library Online (SciELO), Google Scholar and LILACS Results : 10 articles met the eligibility criteria for the topic and were used to compose the review. Studies have shown that LVC is little explored in the context of urgencies and emergencies, even with potential benefit over open approaches. However, the studies point to the greatest need for resources, specialization and non-adherence by surgeons as the greatest limitations. Conclusion : LVC is a viable option to laparotomy in the context of urgencies and emergencies. It is associated with lower morbidity and a better postoperative profile. However, the lack of randomized clinical trials, as well as the costs and the need for surgeons' experience are limitations for the full application of this technique in these situations.