BACKGROUND: Laparoscopy was evaluated in @entity3124 @entity1 with suspected @entity14784 , @entity5327 , or @entity344 . We studied laparoscopy to assess its utility, accuracy, and effect on cardiopulmonary stability. METHODS: Twenty-six surgical ICU @entity1 with possible @entity1661 underwent laparoscopy. Nineteen were post cardiac surgery; the remainder had other diagnoses. Video laparoscopy was performed with hemodynamic monitoring and inotropic support as needed. Eight @entity1 had bedside laparoscopy. RESULTS: Fifteen @entity1 had suspected @entity14784 . Laparoscopy was positive in 10; four had open cholecystectomy, four laparoscopic cholecystectomy, and two tube cholecystostomy. Nine @entity1 had suspected @entity5327 ; laparoscopy was positive in five, revealing @entity82 in two and @entity63 bowel in three. Two @entity1 had suspected perforated viscus with @entity694 in one and one false negative. There were no adverse hemodynamic events. CONCLUSIONS: Laparoscopy can be performed safely in @entity3124 @entity1 . It is useful in @entity1 with @entity14784 and in @entity1 who are post cardiac surgery with refractory lactic @entity520 in whom a diagnosis of @entity5327 is considered.

Laparoscopy in the XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity82 :: ('MESH:D005355', 'Disease') :: ['cirrhosis'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity3124 :: ('MESH:D016638', 'Disease') :: ['critically ill'] @entity1661 :: ('MESH:D000008', 'Disease') :: ['abdominal sepsis'] @entity344 :: ('MESH:D005767', 'Disease') :: ['gastrointestinal perforation'] @entity520 :: ('MESH:D000138', 'Disease') :: ['acidosis'] @entity14784 :: ('MESH:D041881', 'Disease') :: ['acute cholecystitis'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic perforation'] @entity5327 :: ('MESH:D065666', 'Disease') :: ['mesenteric ischemia']
@entity3124 :: (MESH:D016638,Disease) :: ['critically ill']
