Steffen H, Ludwig K, Scharlau U, Czarnetzki H-D
Klinik für Chirurgie, Klinikum Südstadt Rostock.
Zentralbl Chir. 2003 Feb;128(2):99-101. doi: 10.1055/s-2003-37761.
Indications and contraindications for diagnostic laparoscopy in cases of intestinal obstructions are discussed in connection with a 16-year-old patient's case report with small bowel obstruction including intussusception, volvulus and appendicitis caused by an inflammatory Meckel's diverticulum. The use of diagnostic laparoscopy in cases of intestinal obstructions is controversial. In the described case we performed completely laparoscopically the derevolving and desusception of the volvulus and intussusception, the appendectomy and resection of the diverticulum. The procedure itself and the postoperative course were uneventful.
结合一名16岁小肠梗阻患者的病例报告，讨论了诊断性腹腔镜检查在肠梗阻病例中的适应证和禁忌证，该病例包括肠套叠、肠扭转以及由炎症性梅克尔憩室引起的阑尾炎。诊断性腹腔镜检查在肠梗阻病例中的应用存在争议。在所描述的病例中，我们完全通过腹腔镜进行了肠扭转和肠套叠的复位、阑尾切除术以及憩室切除术。手术过程本身及术后病程均顺利。
