Pearson Erik G, Clifton Matthew S
Department of Surgery, Emory University School of Medicine, 1405 Clifton Road Northeast, Atlanta, GA 30322, USA.
Department of Surgery, Children's Healthcare of Atlanta, Emory University School of Medicine, 1405 Clifton Road Northeast, Atlanta, GA 30322, USA.
Surg Clin North Am. 2017 Feb;97(1):75-84. doi: 10.1016/j.suc.2016.08.005.
Minimally invasive surgery (MIS) in the management of blunt and penetrating pediatric trauma has evolved in the past 30 years. Laparoscopy and thoracoscopy possess high levels of diagnostic accuracy with low associated missed injury rates. Currently available data advocate limiting the use of MIS to blunt or penetrating injuries in the hemodynamically stable child. In the pediatric trauma population, MIS offers both diagnostic and therapeutic potential, as well as reduced postoperative pain, a decreased rate of postoperative complications, shortened hospital stay, and potentially reduced cost.
在过去30年里，微创外科手术（MIS）在小儿钝性和穿透性创伤管理中的应用得到了发展。腹腔镜检查和胸腔镜检查具有较高的诊断准确性，漏诊率较低。目前可得的数据主张将MIS的使用限制在血流动力学稳定的儿童钝性或穿透性损伤中。在小儿创伤人群中，MIS具有诊断和治疗潜力，还能减轻术后疼痛、降低术后并发症发生率、缩短住院时间，并可能降低成本。
