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腹腔镜检查及再次腹腔镜检查在术后并发症诊断与治疗中的应用

[Laparoscopy and re-laparoscopy in the diagnosis and treatment of postoperative complications].

作者信息

Fedorov A V, Sazhin A V

出版信息

Khirurgiia (Mosk). 2003(3):73-5.

Abstract

Experience of repeated laparoscopic surgeries in early and late postoperative period in 112 patients is analyzed. In early postoperative period repeated laparoscopy was performed in 75 patients for prevention, diagnosis and treatment of postoperative complications. In 54 patients repeated laparoscopy was carried out for programmed control for pathologic process. Laparoscopic surgery for diagnosis and treatment of postoperative complications was performed in 27 patients. In this group complications were seen in 2 patients. Technical features of repeated laparoscopy are demonstrated. Laparoscopic surgeries after laparotomic and laparoscopic operations are a good component of complex treatment and prophylaxis of severe complications in abdominal surgery. Prior performed abdominal operation is not contraindication for laparoscopy.

摘要

分析了112例患者在术后早期和晚期进行重复腹腔镜手术的经验。在术后早期,对75例患者进行了重复腹腔镜检查,以预防、诊断和治疗术后并发症。54例患者为了对病理过程进行程序控制而进行了重复腹腔镜检查。27例患者进行了用于诊断和治疗术后并发症的腹腔镜手术。该组中有2例出现并发症。展示了重复腹腔镜检查的技术特点。开腹手术和腹腔镜手术后的腹腔镜手术是腹部手术中复杂治疗和预防严重并发症的重要组成部分。先前进行的腹部手术并非腹腔镜检查的禁忌证。

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