LAPAROSCOPY FOR MANAGEMENT OF NONTRAUMATIC ACUTE ABDOMEN

被引：41
作者：
NAVEZ, B
DUDEKEM, Y
CAMBIER, E
RICHIR, C
DEPIERPONT, B
GUIOT, P
机构：
[1] Service de Chirurgie Générale, Digestive et Urologique, Hôpital St. Joseph, Gilly (Charleroi), 6060
来源：
WORLD JOURNAL OF SURGERY | 1995年 / 19卷 / 03期
关键词：
D O I：
10.1007/BF00299164
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The diagnostic and therapeutic influence of laparoscopy has been studied in 255 patients presenting with nontraumatic acute abdominal pain. Laparoscopy provided a correct diagnosis in 93% (236 of 255) of the cases, the others requiring a laparotomy. An erroneous preoperative diagnosis was corrected by laparoscopy in 50 patients (20%), which called for a change of treatment in 25 patients (10%), Seventy-three percent (186 of 255) of acute abdominal conditions were treated exclusively by laparoscopy, 23% (58 of 255) by conventional surgery, and 4% (11 of 255) by laparoscopically assisted surgery. Mortality was 2% (5 of 247) and morbidity 11% (28 of 247), We conclude that laparoscopy is a valuable tool for the general surgeon facing a patient with an acute abdomen.
引用
收藏
页码：382 / 387
页数：6
相关论文
共 15 条
[1]  
Ogbonna B.C., Obekpa P.O., Momoh J.T., Obafunwa J.O., Nwana E.J.C., Laparoscopy in developing countries in the management of patients with an acute abdomen, Br. J. Surg., 79, (1992)
[2]  
Paterson-Brown S., Emergency laparoscopic surgery, Br. J. Surg., 80, (1993)
[3]  
Paterson-Brown S., Vipond M.N., Sim K., Gatzer C., Thompson J.N., Dudley H.A.F., Clinical decision making and laparoscopy versus computer prediction in the management of the acute abdomen, Br. J. Surg., 76, (1989)
[4]  
Hasson H.M., A modified instrument and method for laparoscopy, Am. J. Obstet. Gynecol., 110, (1971)
[5]  
Dubois F., Icard P., Berthelot G., Levard H., Coelioscopic cholecystectomy
[6]  
preliminary report of 36 cases, Ann. Surg., 211, (1990)
[7]  
Cottier D.J., McKay C., Anderson J.R., Subtotal cholecystectomy, Br. J. Surg., 78, (1991)
[8]  
Flowers J.A., Bailey R.W., Zucker K.A., Laparoscopic management of acute cholecystitis: the Baltimore experience, Am. J. Surg., 161, (1991)
[9]  
Miller R.E., Kimmelstiel F.M., Laparoscopic cholecystectomy for acute cholecystitis, Surg. Endosc., 7, (1993)
[10]  
Unger S.W., Edelman D.S., Scott J.S., Laparoscopic treatment of acute cholecystitis, Surg. Laparosc. Endosc., 1, (1991)
12