Arnell Tracey D
Department of Surgery, New York Presbyterian-Columbia Medical Center, New York, NY 10032, USA.
Clin Colon Rectal Surg. 2006 Nov;19(4):223-7. doi: 10.1055/s-2006-956444.
The surgical indications for laparoscopic techniques continue to expand as experience is gained. This includes patients who have had a previous open abdominal operation and require surgical intervention. In addition to the generally accepted indications for laparoscopy, conditions such as reversal of colostomy, small bowel obstruction, and early reoperation for surgical complications may be managed using minimally invasive techniques. Specific considerations in this group of patients include peritoneal access and establishing domain, lysis of adhesions, and situations that should prompt conversion.
随着经验的积累，腹腔镜技术的手术适应症不断扩大。这包括既往接受过开腹手术且需要手术干预的患者。除了腹腔镜检查普遍公认的适应症外，诸如结肠造口还纳、小肠梗阻以及手术并发症的早期再次手术等情况也可采用微创技术处理。这类患者的特殊考量包括腹膜入路和建立手术视野、粘连松解以及应促使中转开腹的情况。
