关键词: 消化道穿孔, 腹腔镜, 开腹手术

Abstract:

Value of laparoscopic surgery in the diagnosis and treatment of gastrointestinal perforation      HU San-yuan. Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250012，China
Abstract    Gastrointestinal perforation is one of the acute abdomen，which is severe and has rapid progress. It often requires surgical repair. At present，there are two methods，including laparoscopic and open surgery. Comparatively speaking，laparoscopic surgery has obvious advantage in the operating time , postoperative analgesic use，length of hospital stay and recovery time，incision infection. Especially, with the rapid development, laparoscopic surgery  has already become the main treatment strategy of the gastrointestinal perforation. Although laparoscopic surgery in the treatment of gastrointestinal perforation has been widely used in clinical，there are still some controversial in surgical skills and patient selection,which requires more attention. These problems are often the major factors leading to conversion of laparotomy，so this requires surgeons improving their skills and strictly mastering surgical indications，in order to avoid unnecessary harm and trouble.

Key words: gastrointestinal perforation, laparoscopy, open surgery