LAPAROSCOPY FOR MANAGEMENT OF NONTRAUMATIC ACUTE ABDOMEN

被引：42
|
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
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