Montgomery A, Moberg A C
Kirurgiska kliniken, Universitetssjukhuset MAS, Malmö.
Lakartidningen. 1999 Feb 10;96(6):593-6.
In cases of acute abdomen, the preoperative diagnostic options are limited. Diagnostic laparoscopy offers a superior overview of the abdominal cavity with minimal trauma to the patient. If further surgery is needed, it may take the form of either laparoscopic procedures or conversion to open surgery, the incision being guided by laparoscopy findings. Complications associated to laparoscopy are few and can be minimized further by using minilaparotomy techniques. Intensive educational programmes for all categories of staff are required to make a 24-hours-a-day laparoscopy service available.
在急腹症病例中,术前诊断选择有限。诊断性腹腔镜检查能以对患者最小的创伤提供对腹腔的更全面观察。如果需要进一步手术,其形式可以是腹腔镜手术或转为开放手术,切口由腹腔镜检查结果引导。与腹腔镜检查相关的并发症很少,通过使用小切口剖腹术技术可进一步将其降至最低。需要为各类工作人员开展强化教育项目,以便提供一天24小时的腹腔镜检查服务。