Current status of laparoscopic emergency surgery in Korea: multicenter restrospective cohort study.

Purpose: Laparoscopic surgery is a choice in several emergency settings. However, there has been no nationwide study or survey that has compared the clinical use of laparoscopic emergency surgery (LES) versus open abdominal emergency surgery (OES) in Korea. Therefore, we examined the state of LES across multiple centers in Korea and further compared this data with the global state based on published reports. Methods: Data of 2,122 patients who received abdominal emergency surgery between 2014 and 2019 in three hospitals in Korea were collected and retrospectively analyzed. Several clinical factors were investigated and analyzed. Results: Of the patients, 1,280 (60.3%) were in the OES group and 842 (39.7%) were in the LES group. The most commonly operated organ in OES was the small bowel (25.8%), whereas that for LES was the appendix. In appendectomy and cholecystectomy, 93.7% and 88.0% were in the LES group. In small bowel surgery, gastric surgery, and large bowel surgery, 89.4%, 92.0%, and 79.1% were in the OES group. The severity-related factors of patient status demonstrated statistically significant limiting factors of selection between LES and OES. Conclusion: Although our study has several limitations, compared to the LES data from other countries, the general LES state was similar in appendectomies, cholecystectomies, and small bowel surgeries. However, in gastric and colorectal surgeries, the LES state was different from those of other countries. This study demonstrated the LES state and limiting factors of selection between LES and OES in various operated organs. Further studies are required to analyze these differences and the various limiting factors.

Foraging Strategy of Black-faced Spoonbill During Breeding Period in Rice Fields of Korea.

Rice fields are important habitats for a variety of water birds, and their importance is increasing with the destruction of natural wetlands. This study was conducted to understand the foraging strategy of the black-faced spoonbill, an internationally endangered species, in rice fields. To achieve this objective, the feeding success rate of black-faced spoonbills in rice fields was analyzed considering the species' feeding behavior, environmental factors, and external factors. The number of sweeps per minute and number of steps per minute were evaluated as features of feeding behavior; rice field type, water level, and rice height as environmental factors; and the size of a flock and number of other species in the fields when black-faced spoonbills were feeding as external factors. The feeding success rate of the black-faced spoonbills increased as they were feeding while moving at a fast pace in a rice field with a water level of 10 cm or below, rice height of 15 cm, and without herons (competitor species). These factors may be an effective strategy to increase the probability of food acquisition by black-faced spoonbills in rice fields. Therefore, to allow black-faced spoonbills during breeding season to use the rice fields for feeding, it is necessary to maintain a water level of 15 cm or less before transplanting rice. Moreover, the use of pesticides must be minimized to increase abundance of the food resources in rice fields.