Introduction. Expanding indications and the search for new possibilities of using minimally invasive technologies in emergency surgery of the abdominal cavity remains one of the most pressing contemporary issues.
Aim. To analyze the results of surgical treatment of patients with acute surgical abdominal diseases used the laparoscopic approach.
Materials and methods. The work is based on the results of the use of laparoscopic surgery in 1056 patients with acute surgical diseases of the abdominal cavity, from 2000 to 2013 were treated at the surgical departments ofKyivEmergencyHospital.
Results and discussion. In the article it is determined the possibility of using minimally invasive surgical interventions in acute cholecystitis, perforated peptic ulcer, appendicitis, adhesive intestinal obstruction, pancreatitis, strangulated hernia and bleeding in portal hypertension. The results obtained allowed to expand the indications for the successful use of laparoscopic approach in a variety of pathological processes in the abdominal cavity. There were identified contraindications and complications of laparoscopic operations.
Conclusions. Laparoscopic approach in conditions of emergency surgery is a reliable method of differential diagnosis, pathology verification and performing a pathogenetically based intervention. Prevention of complications consists of the comprehensive preoperative examination and enlisting skilled specialist with experience in both laparoscopic and open surgery.