Slutzki S, Halpern Z, Negri M, Kais H, Halevy A
Department of Surgery "B," Assaf Harofeh Medical Center, Affiliated to Sackler Faculty of Medicine,
Surg Endosc. 1996 Jul;10(7):729-31. doi: 10.1007/BF00193045.
Survival after acute vascular ischemia depends on a second look laparotomy to detect extending bowel compromise and to verify the integrity of the anastomosis. In a series of five consecutive patients with acute ischemic bowel disease, we used laparoscopic technique to determine if a formal laparotomy could be avoided.
following the resection of ischemic bowel in five consecutive patients, two laparoscopic trocars were inserted in the lower abdominal quadrants and covered by sterile gloves. Forty-eight to 72 h following the primary operation, the abdomen was inflated via a trocar and secondary assessment done by laparoscopy.
In all patients, the integrity of the anastomosis and viability of the remaining bowel was accurately assessed by laparoscopy.
Using minimally invasive techniques, a second look laparotomy was avoided in 5 patients with ischemic bowel disease.
急性血管性缺血后的存活取决于再次剖腹探查，以检测肠管损伤的进展情况并确认吻合口的完整性。在连续5例急性缺血性肠病患者中，我们采用腹腔镜技术来确定是否可以避免进行正规的剖腹手术。
在连续5例患者切除缺血肠管后，在下腹象限插入两个腹腔镜套管针，并用无菌手套覆盖。初次手术后48至72小时，通过套管针向腹腔内充气，并通过腹腔镜进行二次评估。
在所有患者中，通过腹腔镜准确评估了吻合口的完整性和剩余肠管的活力。
采用微创技术，5例缺血性肠病患者避免了再次剖腹探查。
