Pietra N, Carreras F, Longinotti E, Violi V, Sarli L
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Parma.
Acta Biomed Ateneo Parmense. 1992;63(3-4):317-21.
The treatment of lesions due to blunt abdominal trauma has changed considerably in the last decade. With a view to the prevention of immediate and later complications of splenectomy, conservative surgical technique have been put forward, or else, when the haemodynamic conditions of the patient permit, techniques of non-operative monitoring of splenic lesions. Laparoscopy today constitutes an approach to the diagnosis and treatment of blunt abdominal trauma which decisively favours conservative treatment. The experience presented bears witness to the potential usefulness of laparoscopy in these cases. Technological progress will widen the possibilities of this method and more detailed studies will define its exact indications.
在过去十年中，钝性腹部创伤所致损伤的治疗方法发生了很大变化。为预防脾切除术后的近期和远期并发症，已提出了保守手术技术，或者在患者血流动力学状况允许时，采用对脾损伤进行非手术监测的技术。如今，腹腔镜检查已成为钝性腹部创伤诊断和治疗的一种方法，这对保守治疗极为有利。所介绍的经验证明了腹腔镜检查在这些病例中的潜在用途。技术进步将拓宽这种方法的应用可能性，更详细的研究将明确其确切适应症。
