Leape L L, Ramenofsky M L
J Pediatr Surg. 1977 Dec;12(6):929-38. doi: 10.1016/0022-3468(77)90603-0.
Laparoscopy has been performed in 60 infants and children over a 32-mo period. Indications included: the problem of possible appendicitis, chronic abdominal pain, possible regional enteritis, possible biliary atresia, and liver biopsy. Fifty-two per cent of patients were spared laparotomy, while in 32% the need for operation was established. There were 2 errors in diagnosis, 3 failures, and 1 complication. Laparoscopy is considered to be a safe, effective, and economical diagnostic procedure that deserves wider application in the pediatric patient.
在32个月的时间里,对60名婴幼儿进行了腹腔镜检查。适应证包括:可能的阑尾炎、慢性腹痛、可能的局限性肠炎、可能的胆道闭锁以及肝活检。52%的患者避免了开腹手术,而32%的患者确定需要进行手术。有2例诊断错误、3例手术失败和1例并发症。腹腔镜检查被认为是一种安全、有效且经济的诊断方法,值得在儿科患者中更广泛地应用。