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. 2022 Mar 18;17(1):18.
doi: 10.1186/s13017-022-00419-x.

Minimally invasive surgery in emergency surgery: a WSES survey

Marco Ceresoli #  1 , Michele Pisano #  2 , Fikri Abu-Zidan  3 , Niccolò Allievi  2 , Kurinchi Gurusamy  4   5 , Walt L Biffl  6 , Giovanni D Tebala  7 , Fausto Catena  8 , Luca Ansaloni  9 , Massimo Sartelli  10 , Yoram Kluger  11 , Gianluca Baiocchi  12 ; WSES MIS working group; WSES MIS consortia; Federico Coccolini  13
Collaborators, Affiliations

Minimally invasive surgery in emergency surgery: a WSES survey

Marco Ceresoli et al. World J Emerg Surg. .

Erratum in

  • Correction: Minimally invasive surgery in emergency surgery: a WSES survey.
    Ceresoli M, Pisano M, Abu-Zidan F, Allievi N, Gurusamy K, Biffl WL, Tebala GD, Catena F, Ansaloni L, Sartelli M, Kluger Y, Baiocchi G; WSES MIS working group; WSES MIS consortia; Coccolini F. Ceresoli M, et al. World J Emerg Surg. 2022 Aug 29;17(1):45. doi: 10.1186/s13017-022-00451-x. World J Emerg Surg. 2022. PMID: 36038922 Free PMC article. No abstract available.

Abstract

Background: The diffusion of minimally invasive surgery in emergency surgery still represents a developing challenge. Evidence about the use of minimally invasive surgery shows its feasibility and safety; however, the diffusion of these techniques is still poor. The aims of the present survey were to explore the diffusion and variations in the use of minimally invasive surgery among surgeons in the emergency setting.

Methods: This is a web-based survey administered to all the WSES members investigating the diffusion of minimally invasive surgery in emergency. The survey investigated personal characteristics of participants, hospital characteristics, personal confidence in the use of minimally invasive surgery in emergency, limitations in the use of it and limitations to prosecute minimally invasive surgery in emergency surgery. Characteristics related to the use of minimally invasive surgery were studied with a multivariate ordinal regression.

Results: The survey collected a total of 415 answers; 42.2% of participants declared a working experience > 15 years and 69.4% of responders worked in tertiary level center or academic hospital. In primary emergencies, only 28,7% of participants declared the use of laparoscopy in more than 50% of times. Personal confidence with minimally invasive techniques was the highest for appendectomy and cholecystectomy. At multivariate ordinal regression, a longer professional experience, the use of laparoscopy in major elective surgery and bariatric surgery expertise were related to a higher use of laparoscopy in emergency surgery.

Conclusions: The survey shows that minimally invasive techniques in emergency surgery are still underutilized. Greater focus should be placed on the development of dedicated training in laparoscopy among emergency surgeons.

Keywords: Emergency surgery; Laparoscopy; Minimally invasive surgery; Survey.

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Conflict of interest statement

All the authors declare to have no conflict of interest.

Figures

Fig. 1
Fig. 1
Box-plot of self-declared personal confidence in MIS for primary emergencies; personal confidence is graded from 0 (no confidence) to 5 (maximum confidence)
Fig. 2
Fig. 2
Box-plot of self-declared personal confidence in MIS for secondary emergencies; personal confidence is graded from 0 (no confidence) to 5 (maximum confidence)
See this image and copyright information in PMC

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