Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Sep 15;26(3):112-120.
doi: 10.7602/jmis.2023.26.3.112.

Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study

Jung-Min Bae  1 , Chang-Yeon Jung  1 , Keesang Yoo  2 , Hak-Jae Lee  3 , Suk-Kyung Hong  3 , Sungyeon Yoo  3 , Yun Tae Jung  4 , Eun Young Kim  5 , Min Jung Ko  6 , Ho-Gyun Shin  6
Affiliations

Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study

Jung-Min Bae et al. J Minim Invasive Surg. .

Abstract

Purpose: Laparoscopic surgery is a choice in several emergency settings. However, there has been no nationwide study or survey that has compared the clinical use of laparoscopic emergency surgery (LES) versus open abdominal emergency surgery (OES) in Korea. Therefore, we examined the state of LES across multiple centers in Korea and further compared this data with the global state based on published reports.

Methods: Data of 2,122 patients who received abdominal emergency surgery between 2014 and 2019 in three hospitals in Korea were collected and retrospectively analyzed. Several clinical factors were investigated and analyzed.

Results: Of the patients, 1,280 (60.3%) were in the OES group and 842 (39.7%) were in the LES group. The most commonly operated organ in OES was the small bowel (25.8%), whereas that for LES was the appendix. In appendectomy and cholecystectomy, 93.7% and 88.0% were in the LES group. In small bowel surgery, gastric surgery, and large bowel surgery, 89.4%, 92.0%, and 79.1% were in the OES group. The severity-related factors of patient status demonstrated statistically significant limiting factors of selection between LES and OES.

Conclusion: Although our study has several limitations, compared to the LES data from other countries, the general LES state was similar in appendectomies, cholecystectomies, and small bowel surgeries. However, in gastric and colorectal surgeries, the LES state was different from those of other countries. This study demonstrated the LES state and limiting factors of selection between LES and OES in various operated organs. Further studies are required to analyze these differences and the various limiting factors.

Keywords: Emergency; Laparoscopy; Surgery.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest

All authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
The emergency surgery acuity score distribution according to operated organ. OES, open abdominal emergency surgery; LES, laparoscopic emergency surgery.
Fig. 2
Fig. 2
The Charlson comorbidity index distribution according to operated organ. OES, open abdominal emergency surgery; LES, laparoscopic emergency surgery.
Fig. 3
Fig. 3
The sepsis ratio distribution according to operated organ. OES, open abdominal emergency surgery; LES, laparoscopic emergency surgery.
Fig. 4
Fig. 4
The shock ratio distribution according to operated organ. OES, open abdominal emergency surgery; LES, laparoscopic emergency surgery.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Hosford J. Peritoneoscopy. Br Med J. 1948;2:348. doi: 10.1136/bmj.2.4571.348. - DOI - PMC - PubMed
    1. Ceresoli M, Pisano M, Abu-Zidan F, et al. Minimally invasive surgery in emergency surgery: a WSES survey. World J Emerg Surg. 2022;17:18. doi: 10.1186/s13017-022-00419-x. - DOI - PMC - PubMed
    1. Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3) JAMA. 2016;315:801–810. doi: 10.1001/jama.2016.0287. - DOI - PMC - PubMed
    1. Yi GH, Lee HJ, Lee S, Yoon JH, Hong SK. Impact of an acute care surgery model on the management of acute appendicitis in South Korea: a retrospective cohort study. Emerg Med Int. 2021;2021:5522523. doi: 10.21203/rs.3.rs-111093/v2. - DOI - PMC - PubMed
    1. Song MJ, Lee KM, Kim IB, et al. Acute care surgery model for emergency cholecystectomy. J Acute Care Surg. 2016;6:57–61. doi: 10.17479/jacs.2016.6.2.57. - DOI

LinkOut - more resources