Forde K A, Treat M R
Department of Surgery, College of Physicians & Surgeons, Columbia University, New York, NY 10032.
Surg Endosc. 1992 Sep-Oct;6(5):219-21. doi: 10.1007/BF02498806.
Emergency peritoneoscopy (laparoscopy) to evaluate a suspected intraabdominal catastrophe was performed in ten critically ill patients over a 3-year period. The examination was negative in six cases, thereby avoiding celiotomy in this high-risk group. The examination was positive in four cases and, on this basis, celiotomy was recommended. Verification of the peritoneoscopic findings by clinical follow-up, operative findings, or autopsy was obtained in eight out of the ten cases. Based on our experience, we feel that peritoneoscopy is of value in defining the indications for celiotomy in this high-risk group of patients.
在3年时间里，对10例危重症患者进行了急诊腹腔镜检查以评估疑似腹腔内病变。6例检查结果为阴性，从而避免了对这一高危组患者进行剖腹手术。4例检查结果为阳性，并据此建议进行剖腹手术。10例中有8例通过临床随访、手术所见或尸检证实了腹腔镜检查结果。根据我们的经验，我们认为腹腔镜检查对于确定这一高危组患者剖腹手术的指征具有价值。
