El-Bendary Yehia B A, Al-Adawi Juhaina, Al-Qadhi Hani
Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman.
Sultan Qaboos Univ Med J. 2016 Feb;16(1):e9-e14. doi: 10.18295/squmj.2016.16.01.003. Epub 2016 Feb 2.
Laparoscopy is one of the most effective intervention modalities, resulting in improved outcomes for major surgeries. In the past decade, the laparoscopic approach in trauma patients has shown better diagnostic outcomes than traditional laparotomies. Furthermore, this approach is cost-effective, significantly reduces the length of hospital stay and contributes to reduced complication rates. However, the use of laparoscopies in trauma cases is generally restricted to patients with normal haemodynamic parameters and is contraindicated for individuals with head injuries. With advances in knowledge and improved training, laparoscopies can also be used in the treatment of other conditions, such as diaphragmatic injuries and organ lacerations. This article briefly reviews the extent of laparoscopy use and its significance in the management of trauma patients.
腹腔镜检查是最有效的干预方式之一,可改善大手术的治疗效果。在过去十年中,创伤患者的腹腔镜手术方法已显示出比传统开腹手术更好的诊断效果。此外,这种方法具有成本效益,可显著缩短住院时间并有助于降低并发症发生率。然而,创伤病例中腹腔镜检查的使用通常仅限于血流动力学参数正常的患者,头部受伤的患者则禁用。随着知识的进步和培训的改进,腹腔镜检查也可用于治疗其他病症,如膈肌损伤和器官撕裂伤。本文简要回顾了腹腔镜检查在创伤患者管理中的应用范围及其意义。