腹腔镜治疗外科急腹症122例临床分析

A clinical analysis concerning laparoscopic treatment for 122 patients with surgical acute abdomen

目的 探讨腹腔镜技术外科急腹症的诊断和治疗价值。 方法 回顾分析 2 0 0 1年 1月～ 2 0 0 3年 3月收治的12 2例外科急腹症病人的腹腔镜检查与治疗效果。 结果 全部病例通过腹腔镜均获得明确诊断。腹腔镜下完成手术 117例 ,中转开腹 5例 ,死亡 2例。中转开腹原因主要是视野受限、严重粘连致暴露解剖分离困难。 结论 腹腔镜对外科急腹症诊断和鉴别诊断准确 ,极具价值。多数外科急腹症可在腹腔镜下完成治疗 。

Objective To investigate the laparoscopic techniques in the diagnosis and treatment of acute abdominal emergency. Methods The efficacy of laparoscopic checkups and treatment in 122 consecutive patients with surgical acute abdomen admitted from January 2001 to February 2003 were analyzed retrospectively. Results Diagnosis was clarified under laparoscope in all the patients.Operations were completed under laparoscope in 117 patients,while a conversion to open surgery was required in 5 patients because of the limitation of vision scope or dense adhesion leading to difficult exposure.Two patients expired. Conclusions Laparoscopy is valuable for the differential diagnosis of surgical acute abdomen.Laparoscopic treatment can be completed in the majority of the patients,but is not advisable in certain cases.