OUTCOMES OF LAPAROSCOPIC SURGERY IN EMERGENCY SETTING

Abstract

Background

Laparoscopic surgery has increasingly become an important modality in emergency surgical practice due to its minimally invasive nature and improved postoperative outcomes. Its application in emergency settings has expanded significantly for the management of various acute abdominal conditions.

Objective

To evaluate the outcomes of laparoscopic surgery in emergency settings in terms of operative findings, postoperative recovery, complications, and overall surgical success.

Methods

A prospective observational study was conducted on 100 patients who underwent emergency laparoscopic procedures for acute surgical conditions including acute appendicitis, acute cholecystitis, perforated viscus, intestinal obstruction, trauma, and ectopic pregnancy. Patient demographics, operative details, postoperative complications, conversion rate, hospital stay, and overall outcomes were analyzed.

Results

The mean age of patients was 38.6 ± 14.2 years, with males comprising 62% of the study population. Acute appendicitis was the most common indication for surgery (45%), followed by acute cholecystitis (25%). The mean operative time was 78.4 ± 21.6 minutes, while conversion to open surgery was required in 11% of cases. Postoperative complications occurred in 14% of patients, with surgical site infection being the most common complication. The average hospital stay was 3.8 ± 1.7 days. Successful laparoscopic management without major complications was achieved in 89% of patients, while mortality was observed in 1% of cases.

Conclusion

Laparoscopic surgery in emergency settings is a safe, feasible, and effective approach associated with reduced postoperative morbidity, shorter hospital stay, and favorable recovery outcomes. Adequate surgical expertise and careful patient selection remain essential for achieving optimal results