Gasless laparoscopy technical feasibility in the diagnosis of the acute abdominal distress in patients with destructive pulmonary tuberculosis

Written by Belov S.A., Stegniy K.V., Soroka A.K.

  UDK: [617.55-06:616.24-002]-089.85-072.1 | Pages: 93–94 | Full text PDF | Open PDF 


The surgical department of PRTD has developed a tool for the early detection of acute abdominal distress in patients with destructive pulmonary tuberculosis (RF Patent for invention No. 2475196, 2011). This device allows to perform the gasless laparoscopy in patients with severe respiratory failure. It comprises the advantages of laparoscopy and minimally invasive laparocentesis, helps to reduce the operation time and avoid the negative effect of intense carboxyperitoneum. There have been carried out 17 diagnostic gasless laparoscopies in patients with destructive pulmonary tuberculosis with suspected acute abdominal distress (III–IV degree of interference risk according to ASA classification). In developing the appropriate skills the duration for the gasless laparoscopy has come to 14.6±2.6 min., and in the experimental group (47 people, traditional laparoscopy) – 59.2±12.4 min. Any complications associated with the surgical interference have not been registered. The
gasless laparoscopy let to broaden the indications to use videoimage endoscopy for the patients with a high degree of surgical risk.

Links to authors:

S.A. Belov1, K.V. Stegniy2, A.K. Soroka2
1 Primorskiy Regional Tuberculosis Dispensary (2 Pyatnadtsataya St. Vladivostok 690041 Russian Federation)
2 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation)

  1. Belov S.A. Laparolift // Patent RF for the invention. 2011. No. 2475196.
  2. Belov S.A., Panchoyan V.M., Stegniy K.V. Laparolift // Patent RF for the utility model. 2011. No. 114835. 
  3. Belyaev A.Yu., Nikolaeva I.P. Comparative evaluation of gas exchange and oxygen-alkaline state during laparoscopic gynecological operations performed on the “gas” and “gasless” methods // Endoscopy surgery. 2000. No. 2. P. 10.
  4. Bondarev A.A. Myasnikov, A.D., Rabotskiy I.A. Experimental validation for the laparolift model to perform laparoscopic cholecystectomy // Endoscopic surgery. 2005. No. 1. P. 20–21.
  5. Vasilyev A.F., Bratchikov E.V., Bereznitskiy A.P. Diagnostic laparoscopy in emergency surgery // Endoscopy surgery. 2007. No. 1. P. 27–28. 
  6. Vinnik Yu.S., Cherdashev D.V., Miller S.V. [et al.]. Application of laparolift to perform endoscopic surgery in patients with pancreatic necrosis with high operational risk // Endoscopic surgery. 2006. No. 2. P. 27–28. 
  7. Ermakov A.A. Diagnostic laparoscopy in the treatment of emergency patients with abdominal diseases // Endoscopy surgery. 2005. No. 1. P. 49. 
  8. Kibrik B.S., Chelnokova O.G. Some features of drug resistance of tuberculosis mycobacteria in patients with acutely progressive destructive pulmonary tuberculosis // Problems of tuberculosis and lung diseases. 2003. No. 8. P. 3–5.
  9. Mazitova M.I., Lyapakhin A.B. Gasless laparoscopy in gynecology as an alternative to classical endoscopy // Kazan Medical Journal. 2008. No. 4 P. 498–502.
  10. Snegirev I.I., Frolov A.P. Errors in the differential diagnosis of acute inflammatory diseases of the genitals and appendicitis // Bulletin of East Siberian Scientific Centre SB RAMS. 2007. No. 4, app. P. 162–163.
  11. Xi X., Shuang L., Dan W., Ting H. [et al.]. Diagnostic dilemma of abdominopelvic tuberculosis: a series of 20 cases // Journal of Cancer Research and Clinical Oncology. 2010. Vol. 136. P. 1839–1844.
  12. Stefanidis D., Richardson W.S., Chang L. [et al.]. The role of diagnostic laparoscopy for acute abdominal conditions: an evidencebased review // Surg. Endosc. 2009. No. 23. P. 16–23.


Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.