Laparoscopic treatment of acute non traumatic abdomen syndrome

Laparoscopic treatment of acute non traumatic abdomen syndrome may be safely performed in the majority of cases.Results obtained cover the treatment of 155 patients through video laparoscopic approach, between February 1997 and March 2001.Twenty two patients were excluded because the laparoscopic performed was solely for the purpose of diagnosis.Seventy two patients were women and 61 men.Average age was 45 years old, the youngest being 7 and the oldest 86.Surgery indicators were 67 acute appendicitis; 51 acute cholecystitis; 8 diffuse peritonitis (5 due to perforated gastroduodenal ulcus, 1 of appendicular origin, another of biliary origin and still another as perforative complication of diverticular colopathy); 5 acute pancreatitis of biliary origin; 1 peri diverticular abscess and 1 bilioma.Twelve patients had to be convert to open surgery (9%).Global morbidity was 6% (4 post appendicectomy abscesses; 1 sub hepatic biblio ma, a biliary peritonitis and two infections of parietal abscesses.Mortality was null