腹腔镜在急腹症中的临床应用

Clinical application of laparoscopy in acute abdominal emergency

目的探讨腹腔镜对急腹症的诊治价值. 方法回顾性分析我院1999年12月～2003年4月应用腹腔镜诊治35例原因不明的急腹症临床资料. 结果 35例全部确诊.28例在腹腔镜下手术,7例指导切口部位,中转开腹.无手术死亡,无与伤口有关并发症,平均手术时间48 min(30～72 min),平均住院5.8 d(3～9 d). 结论腹腔镜不仅是一种安全而准确的诊断方法,而且是良好的治疗手段.

Objective To evaluate the laparoscopy in the diagnosis and treatment for acute abdominal emergency. Methods A retrospective analysis was conducted on clinical data of 35 patients with an acute abdomen of unknown causes diagnosed and treated under laparoscope from December 1999 to April 2003 in this hospital. Results Diagnosis was confirmed by laparoscopy in all the 35 cases. Laparoscopic operation was successfully completed in 28 cases, whereas a conversion to open surgery was required in 7 cases, in which the site of incision was under the guidance of laparoscopic observations. No surgery-related deaths or wound-related complications occurred. The mean operative time was 48 min (range, 30~72 min), and the mean hospital stay was 5.8 days (range, 3~9 days). Conclusions Laparoscopy is not only a safe and accurate diagnostic method, but also a good procedure for treatment.