采用腹腔镜处理急腹症的体会

The application experience of laparoscopy in acute abdominal emergency

目的总结腹腔镜在急腹症处理中的休会。方法回顾性分析我科2003年7月至2008年7月应用腹腔镜处理112例急腹症的临床资料。结果108例在腹腔镜下获得明确诊断;92例在腹腔镜下完成操作,20例中转开腹手术;纠正术前诊断2例,发现合并疾病3例;术后并发症2例。结论腹腔镜技术处理腹部外科急腹症创伤小,对诊断不明和腹部外伤的急诊诊断率高,降低阴性剖腹探查率,术中探查全面、安全有效,值得进一步推广。

Objective To investigate the application of laparoscopy in abdominal surgery emergency. Methods The clinical data of 112 acute abdominal emergencies in latest 5 years were analyzed retrospectively. Results Diagnosis was confirmed in 108 patients, laparoscopic operations were performed in 92 patients, 20 patients were converted to laparotomy, preoperative diagnosis was corrected in 2 patients, combined diseases were discovered in 3 patients, and postoperative complications occurred in 2 patients. Conclusion The laparoscopic technique is micro-invasive in management of abdominal emergencies. It gets highly confirmed rate for unconfirmed cases and abdominal injury and avoids negative laparotomy rate. It also can get comprehensive exploration during operation.