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. 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. 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. 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.

中文翻译：

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急诊手术中的微创手术：一项 WSES 调查

微创手术在急诊手术中的普及仍然是一个发展中的挑战。使用微创手术的证据表明其可行性和安全性；然而，这些技术的传播仍然很差。本调查的目的是探讨在紧急情况下外科医生使用微创手术的分布和变化。这是一项针对所有 WSES 成员的基于网络的调查，旨在调查紧急情况下微创手术的普及情况。该调查调查了参与者的个人特征、医院特征、个人对急诊使用微创手术的信心、使用它的局限性以及在急诊手术中进行微创手术的局限性。使用多变量序数回归研究了与使用微创手术相关的特征。调查共收集到 415 个答案；42.2% 的参与者声称工作经验 > 15 年，69.4% 的响应者在三级中心或学术医院工作。在初级紧急情况下，只有 28.7% 的参与者在超过 50% 的时间内宣布使用腹腔镜检查。对于阑尾切除术和胆囊切除术，个人对微创技术的信心最高。在多变量序数回归中，较长的专业经验、在重大择期手术中使用腹腔镜和减肥手术的专业知识与在急诊手术中更多地使用腹腔镜有关。调查显示，急诊手术中的微创技术仍未得到充分利用。