Abstract:

Management evolution of acute abdomen in the era of minimally invasive surgery        SUN Yi-hong. Department of General Surgery，Zhongshan Hospital of Fudan University，Shanghai 200032，China
Abstract    With the development of minimally invasive surgery，the improvement of advanced imaging diagnostic technologies and the progress of evidence-based medicine and the concept of damage control surgery，the evaluation and management of acute abdomen have been revolutionized hugely. Acute abdomen has been evaluated more reasonably and intensively and the diagnosis has become more efficient and accurate followed by timely therapeutic interventions with multiple choices. In the age of minimally invasive surgery，laparoscopy might be a good alternative to an open approach both in terms of diagnosis and treatment for the acute abdomen，but the practice should be based on the available scientific evidence，and be taken into the consideration of comprehensive treatments and damage control to achieve the best outcomes for patients with acute abdomen.

Key words: minimally invasive surgery, acute abdominal pain, acute abdomen

摘要：

随着微创外科理念和技术的发展、影像诊断技术的进步以及循证医学的兴起，在微创、循证和损伤控制外科理念引导下，急腹症的诊治策略已发生深刻变化。术前诊断精细化、诊治方法规范化、治疗模式多元化以及外科手术微创化成为外科急腹症诊治策略演变的大趋势。临床应重视新型诊疗技术的开发和推广，在循证决策原则指导下，逐步完善外科急腹症的诊治规范，践行围手术期整体治疗和损伤控制理念，不断优化外科急腹症的诊疗决策和方法，以获得最佳诊治效果。

关键词: 微创外科, 急性腹痛, 急腹症