Gomel V
Can Med Assoc J. 1974 Jul 20;111(2):167-9.
In the last five years, laparoscopy has become increasingly popular in North America. The procedure has been mainly embraced by the gynecologist and its use in this field has largely supplanted culdoscopy. Other specialties, nevertheless, have been slower in recognizing its value.The procedure has wide applications in gynecology. In pediatrics, laparoscopy proves useful in elucidation of amenorrhea, intersex and precocious puberty. In general surgery, laparoscopy has been recognized as a useful tool in the patient with multiple trauma, and in establishing the diagnosis of many intra-abdominal conditions.Numerous perlaparoscopic operative procedures which include biopsies and tubal sterilizations may be carried out by an experienced operator. Complications associated with the procedure are few, but may be severe. These can be avoided by careful adherence to proper technique.
在过去五年中，腹腔镜检查在北美越来越受欢迎。该手术主要受到妇科医生的青睐，其在该领域的应用在很大程度上已取代了后穹窿镜检查。然而，其他专科在认识其价值方面则较为迟缓。该手术在妇科有广泛应用。在儿科，腹腔镜检查被证明有助于阐明闭经、两性畸形和性早熟。在普通外科，腹腔镜检查已被公认为是治疗多发伤患者以及诊断许多腹腔内疾病的有用工具。经验丰富的操作人员可以进行许多腹腔镜手术操作，包括活检和输卵管绝育术。与该手术相关的并发症很少，但可能很严重。通过严格遵循正确的技术可以避免这些并发症。
