腹腔镜在腹部闭合性损伤中的应用

Application of laparoscopy in closed abdominal trauma

目的 探讨腹腔镜在腹部闭合性损伤中的应用。 方法 2 0 0 0年 7月～ 2 0 0 3年 12月我院对 2 1例血流动力学稳定的腹部闭合性损伤急诊行腹腔镜探查及治疗。 结果 2 1例均在腹腔镜下明确诊断。开腹肝修补术 4例 ,腹腔镜肝修补术 2例 ,开腹脾切除术 5例 ,手助腹腔镜脾切除术 3例 ,腹腔镜辅助下小切口小肠修补术 2例 ,小肠部分切除术 4例 ,腹腔镜大网膜血管缝扎止血 1例。 结论 腹腔镜诊治腹部闭合性外伤准确、安全、有效。

Objective To study the clinical application of laparoscopy in the treatment of closed abdominal trauma. Methods Emergent laparoscopic exploration and treatment was conducted in 21 patients with closed abdominal trauma, who had stable hemodynamic parameters,from July 2000 to December 2003. Results Diagnosis was clarified laparoscopically in all the 21 patients. There were 4 cases of open liver repair, 2 cases of laparoscopic liver repair, 5 cases of open splenectomy, 3 cases of hand-assisted laparoscopic splenectomy, 2 cases of video-assisted small incisional intestinal repair, 4 cases of partial intestinal resection and 1 case of laparoscopic greater omentum hemostasis. Conclusions Laparoscopy in the diagnosis and treatment of closed abdominal trauma is accurate, safe and effective.