中国实用外科杂志

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腹腔镜技术在腹部手术后并发症诊治中应用价值及评价

胡建昆陈心足   

  1. 四川大学华西医院胃肠外科,四川成都 610041
  • 出版日期:2015-05-01 发布日期:2015-04-28

  • Online:2015-05-01 Published:2015-04-28

摘要:

随着腹腔镜技术的发展,其手术适应证也不断扩展。腹腔镜技术不仅应用于诊治多种急腹症,目前其在腹部手术术后并发症的诊治中亦进行了初步探索,如术后腹腔内出血、消化道漏、粘连性肠梗阻等,但其在此方向的应用尚不成熟,适宜条件严格,暂不能推荐作为临床常规诊疗手段。须在条件具备的医疗机构由具有丰富腹腔镜手术经验的外科医师在高度选择性的病例中实施并开展相关临床研究。

关键词: 腹腔镜, 术后并发症, 出血, 消化道漏, 粘连性肠梗阻

Abstract:

Clinical application and evaluation of laparoscopic techniques in postoperative complications after abdominal surgery        HU Jian-kun,CHEN Xin-zu. Department of Gastrointestinal Surgery,West China Hospital,Sichuan University,Chengdu 610041,China
Corresponding author:HU Jian-kun,E-mail:hujkwch@126.com
Abstract    With the development of laparoscopic techniques,indications for laparoscopic management have become more extended. Nowadays,laparoscopic techniques are not only considerable for various acute abdomen situations,but also have been initially practiced in the case of postoperative complications after abdominal surgery,such as intra-abdominal hemorrhage,digestive tract leakage and adhesive intestinal obstruction. However,laparoscopic techniques are still not advanced enough to be applied for postoperative complications after abdominal surgery as a routine diagnostic or therapeutic approach,due to strict criteria for candidates. It needs to be practiced among highly selected patients and within certain clinical investigations in medical institutes with adequate technical supports and by surgeons with adequate experiences of laparoscopic surgery.

Key words: laparoscopy, postoperative complication, hemorrhage, digestive tract leakage, adhesive intestinal obstruction