急腹症腹腔镜手术25例分析

Laparoscopic Surgery in the Acute Abdomen(Report of 25 Cases)

急腹症急诊腹腔镜手术25例，其中急性胆囊炎胆囊切除术12例，急性阑尾炎阑尾切除术6例，消化性溃疡穿孔穿孔修补术3例，胃大部切除、毕氏Ⅱ式吻合术1例，左侧腹股沟斜疝嵌顿、肠梗阻疝修补术1例，仅1例肠梗阻表现的升结肠癌和1例粘连性肠梗阻转剖腹手术。腹腔镜确诊率为100％，腹腔镜手术成功率为92％。

Twenty five cases of acute abdominal diseases managed under laparoscopy were reviewed. Among them, there were 12 cases of laparoscopic cholecystectorny for acute cholecystitis,6 cascs of appendectomy for acute appendicitis , 3 cases of simple suture for perforated peptic ulcer, l case of partial Billroth Ⅱ gastrectomy for peptic ulcer and l case of laparoscopic hernia repair for incarcerated inguinal hernia. Only l case of obstruction caused by ascending colon cancer and l case of intestinal obstruction caused by adhesicns were transformed in to open surgery. Diagnostic accuracy was 100 per cent,and the rate of success of laparoscopic surgery was 92 per cent. The indication and technique for emergency laparoscopy and laparoscopic surgery were disscussed in detail.