Grenzen des laparoskopischen Operierens bei abdomineller Sepsis

Background: Numerous preclinical data support the hypothesis of advantages of laparoscopic surgery for abdominal sepsis. Method and Results: We review the currently available literature and evaluate the possibilities and limitations of laparoscopic surgery in patients with an abdominal septic focus. General considerations are supported by a review of specific laparoscopic approaches for the patient with appendicitis, cholecystitis, perforated ulcer, sigmadiverticulitis, and acute pancreatitis. Conclusions: Experienced laparoscopic surgeons can safely perform surgery for abdominal sources of sepsis. Combinations of interventional and minimally invasive laparoscopic techniques are offering innovative approaches to sigmadiverticulitis and acute pancreatitis, which are currently evaluated in multicenter prospective trials.