Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Bedside Laparoscopy in the Critically Ill: A Review of the Literature

Alessandro Palladino
,
Carlo Vallicelli
ORCID logo ,
Daniele Perrina
* ORCID logo ,
Girolamo Convertini
,
Federico Coccolini
,
Luca Ansaloni
ORCID logo ,
Massimo Sartelli
,
Fausto Catena
*
Version 1 : Received: 12 February 2024 / Approved: 12 February 2024 / Online: 13 February 2024 (08:12:31 CET)

A peer-reviewed article of this Preprint also exists.

Palladino, A.; Vallicelli, C.; Perrina, D.; Convertini, G.; Coccolini, F.; Ansaloni, L.; Sartelli, M.; Catena, F. Bedside Laparoscopy in the Critically Ill: A Review of the Literature. J. Clin. Med. 2024, 13, 1530. Palladino, A.; Vallicelli, C.; Perrina, D.; Convertini, G.; Coccolini, F.; Ansaloni, L.; Sartelli, M.; Catena, F. Bedside Laparoscopy in the Critically Ill: A Review of the Literature. J. Clin. Med. 2024, 13, 1530.

Abstract

Critically ill patients treated in the intensive care unit (ICU) can present many abdominal conditions that need a prompt diagnosis and timely treatment because of their general frailty. Clinical evaluation and diagnostic tools like ultrasound or CT scan are not reliable or feasible in these patients. Bedside laparoscopy (BSL) is a minimally invasive procedure that allows surgeons to assess the abdominal cavity directly in the ICU, thus avoiding unnecessary exploratory laparotomy or incidence related to intra-hospital transfer. We conducted a review of the literature to summarize the state-of-the-art of BSL. Medline, The Cochrane Central Register of Controlled Trials (CENTRAL), and Scopus databases were utilized to identify all relevant publications. Indications, contraindications, technical aspects, and outcomes are discussed. The procedure is safe, feasible, and effective. When other diagnostic tools fail to diagnose or exclude an intra-abdominal condition in ICU patients, BSL should be preferred over exploratory laparotomy.

Keywords

bedside laparoscopy; minimally invasive surgery; critically ill patients

Subject

Medicine and Pharmacology, Surgery

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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