@article{3219253,
    title = "Minimally invasive surgery in emergency surgery: a WSES survey",
    author = "Ceresoli, M. and Pisano, M. and Abu-Zidan, F. and Allievi, N. and Gurusamy, K. and Biffl, W.L. and Tebala, G.D. and Catena, F. and Ansaloni, L. and Sartelli, M. and Kluger, Y. and Baiocchi, G. and Fette, A. and Hecker, A. and Litvin, A. and Forgione, A. and Leppaniemi, A. and De Simone, B. and Sakakushev, B. and Palmatier, C.R. and Bendinelli, C. and Damascos, D. and Picetti, E. and Tan, E. and Poiasina, E. and Pikoulis, E. and Cicuttin, E. and Moore, E.E. and Velmahos, G. and Fraga, G. and Van Goor, H. and Civil, I. and Wani, I. and Di Carlo, I. and Galante, J. and Søreide, K. and Degrate, L. and Zorcolo, L. and De Moya, M. and Braga, M. and Cereda, M. and Sugrue, M. and Chirica, M. and De Angelis, N. and Stahel, P.F. and Ivatury, R. and Ten Broek, R. and Di Saverio, S. and Beka, S.G. and Magnone, S. and Cui, Y. and Balogh, Z.J. and Kelly, M.D. and Inaba, K. and Coccolini, F. and WSES MIS working group and WSES MIS consortia",
    journal = "World Journal of Emergency Surgery",
    year = "2022",
    volume = "17",
    number = "1",
    publisher = "BioMed Central Ltd.",
    issn = "1749-7922",
    doi = "10.1186/s13017-022-00419-x",
    keywords = "adult;  appendectomy;  article;  bariatric surgery;  cholecystectomy;  controlled study;  diffusion;  elective surgery;  emergency surgery;  female;  human;  human experiment;  laparoscopy;  male;  minimally invasive surgery;  surgeon;  university hospital;  bariatric surgery;  minimally invasive surgery;  procedures;  surgeon, Appendectomy;  Bariatric Surgery;  Humans;  Laparoscopy;  Minimally Invasive Surgical Procedures;  Surgeons",
    abstract = "Background: The diffusion of minimally invasive surgery in emergency surgery still represents a developing challenge. Evidence about the use of minimally invasive surgery shows its feasibility and safety; however, the diffusion of these techniques is still poor. The aims of the present survey were to explore the diffusion and variations in the use of minimally invasive surgery among surgeons in the emergency setting. Methods: This is a web-based survey administered to all the WSES members investigating the diffusion of minimally invasive surgery in emergency. The survey investigated personal characteristics of participants, hospital characteristics, personal confidence in the use of minimally invasive surgery in emergency, limitations in the use of it and limitations to prosecute minimally invasive surgery in emergency surgery. Characteristics related to the use of minimally invasive surgery were studied with a multivariate ordinal regression. Results: The survey collected a total of 415 answers; 42.2% of participants declared a working experience > 15 years and 69.4% of responders worked in tertiary level center or academic hospital. In primary emergencies, only 28,7% of participants declared the use of laparoscopy in more than 50% of times. Personal confidence with minimally invasive techniques was the highest for appendectomy and cholecystectomy. At multivariate ordinal regression, a longer professional experience, the use of laparoscopy in major elective surgery and bariatric surgery expertise were related to a higher use of laparoscopy in emergency surgery. Conclusions: The survey shows that minimally invasive techniques in emergency surgery are still underutilized. Greater focus should be placed on the development of dedicated training in laparoscopy among emergency surgeons. © 2022, The Author(s)."
}