{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T09:15:05Z","timestamp":1785143705972,"version":"3.55.0"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[1998,1,1]],"date-time":"1998-01-01T00:00:00Z","timestamp":883612800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The presence of peritonitis has previously been considered to be a contraindication for the laparoscopic approach because of the theoretical risk of malignant hypercapnia and toxic shock syndrome. The aim of this retrospective study was to demonstrate that laparoscopy is feasible, safe and efficient in cases of peritonitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>From January 1990 to July 1995, 231 patients had a laparoscopy for acute peritonitis in two centres (91 appendicular peritonitis, 69 gastroduodenal perforated ulcers, 35 perforations of the colon, 36 miscellaneous).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The diagnostic accuracy of laparoscopic exploration was 84\u00b78 per cent. The clinical preoperative diagnosis was changed by laparoscopic exploration in 25\u00b71 per cent of patients. An unnecessary laparotomy was avoided in 6\u00b75 per cent of patients and the site of traditional incision was modified in 8\u00b77 per cent. Conversion rates were 25 per cent for appendicular peritonitis, 16 per cent for gastroduodenal perforation and 83 per cent (29 of 35 patients) for colonic perforation. The overall mortality rate was 3\u00b79 per cent. No malignant hypercapnia occurred. Two patients (0\u00b79 per cent) had postoperative septic shock but survived.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Laparoscopy is feasible and safe in cases of peritonitis. Laparoscopic treatment is particularly effective in the case of appendicular and gastroduodenal perforation. In the case of colonic perforation, the conversion rate remains high but with growing experience and surgical skill, more of these cases will be treated laparoscopically in the future.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1046\/j.1365-2168.1998.00531.x","type":"journal-article","created":{"date-parts":[[2003,3,11]],"date-time":"2003-03-11T06:58:10Z","timestamp":1047365890000},"page":"32-36","source":"Crossref","is-referenced-by-count":79,"title":["Laparoscopic management of acute peritonitis"],"prefix":"10.1093","volume":"85","author":[{"given":"B","family":"Navez","sequence":"first","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale, Digestive et Urologique, H\u00f4pital Saint-Joseph , Gilly (Charleroi),","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Tassetti","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne, Clinique Chirurgicale A, H\u00f4pital Civil , Strasbourg,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J J","family":"Scohy","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale, Digestive et Urologique, H\u00f4pital Saint-Joseph , Gilly (Charleroi),","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"Mutter","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne, Clinique Chirurgicale A, H\u00f4pital Civil , Strasbourg,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Guiot","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale, Digestive et Urologique, H\u00f4pital Saint-Joseph , Gilly (Charleroi),","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Evrard","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne, Clinique Chirurgicale A, H\u00f4pital Civil , Strasbourg,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Marescaux","sequence":"additional","affiliation":[{"name":"Service de Chirurgie G\u00e9n\u00e9rale et Endocrinienne, Clinique Chirurgicale A, H\u00f4pital Civil , Strasbourg,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1998,1,1]]},"reference":[{"key":"2024092914010401900_bib1","first-page":"170","volume-title":"Chirurgie Digestive par Voie Coelioscopique","author":"DeWatteville","year":"1991"},{"key":"2024092914010401900_bib2","volume-title":"Manuel Merck de Diagnostique et de Th\u00e9rapeutique. 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