Warren Oliver, Kinross James, Paraskeva Paraskevas, Darzi Ara
Department of BioSurgery and Surgical Technology, Imperial College of Science, Technology and Medicine, St, Mary's Hospital, London, UK.
World J Emerg Surg. 2006 Aug 31;1:24. doi: 10.1186/1749-7922-1-24.
Emergency laparoscopic surgery allows both the evaluation of acute abdominal pain and the treatment of many common acute abdominal disorders. This review critically evaluates the current evidence base for the use of laparoscopy, both diagnostic and interventional, in the emergency abdomen, and provides guidance for surgeons as to current best practise. Laparoscopic surgery is firmly established as the best intervention in acute appendicitis, acute cholecystitis and most gynaecological emergencies but requires further randomised controlled trials to definitively establish its role in other conditions.
急诊腹腔镜手术既可以对急性腹痛进行评估，也能治疗许多常见的急性腹部疾病。本综述严格评估了目前在急诊腹部疾病中使用腹腔镜进行诊断和干预的证据基础，并为外科医生提供了当前最佳实践指南。腹腔镜手术已被确认为急性阑尾炎、急性胆囊炎和大多数妇科急诊的最佳干预手段，但在其他疾病中，还需要进一步的随机对照试验来明确其作用。
