Navez B, d'Udekem Y, Cambier E, Richir C, de Pierpont B, Guiot P
Service de Chirurgie Générale, Digestive et Urologique, Hôpital St. Joseph, Gilly (Charleroi), Belgium.
World J Surg. 1995 May-Jun;19(3):382-6; discussion 387. doi: 10.1007/BF00299164.
The diagnostic and therapeutic influence of laparoscopy has been studied in 255 patients presenting with nontraumatic acute abdominal pain. Laparoscopy provided a correct diagnosis in 93% (236 of 255) of the cases, the others requiring a laparotomy. An erroneous preoperative diagnosis was corrected by laparoscopy in 50 patients (20%), which called for a change of treatment in 25 patients (10%). Seventy-three percent (186 of 255) of acute abdominal conditions were treated exclusively by laparoscopy, 23% (58 of 255) by conventional surgery, and 4% (11 of 255) by laparoscopically assisted surgery. Mortality was 2% (5 of 247) and morbidity 11% (28 of 247). We conclude that laparoscopy is a valuable tool for the general surgeon facing a patient with an acute abdomen.
对255例非创伤性急性腹痛患者进行了腹腔镜检查的诊断和治疗影响研究。腹腔镜检查在93%（255例中的236例）的病例中提供了正确诊断，其余病例需要开腹手术。50例患者（20%）通过腹腔镜检查纠正了术前错误诊断，其中25例患者（10%）需要改变治疗方案。73%（255例中的186例）的急性腹部疾病仅通过腹腔镜检查治疗，23%（255例中的58例）通过传统手术治疗，4%（255例中的11例）通过腹腔镜辅助手术治疗。死亡率为2%（247例中的5例），发病率为11%（247例中的28例）。我们得出结论，对于面对急性腹痛患者的普通外科医生来说，腹腔镜检查是一种有价值的工具。
