Abstract:

Application of laparoscopic technology in acute liver trauma        LIU Lian-xin，SUN Jing. Department of General Surgery，the First Affiliated Hospital of Harbin Medical University，Harbin 150001，China
Corresponding author：LIU Lian-xin，E-mail：liulianxin@medmail.com.cn
Abstract    The morbidity and mortality of liver trauma are very high in abdominal injury. The diagnosis and clinical treatment of hepatic trauma are very important. Laparoscopic technology offers new choice of operation and incision for the treatment of liver trauma. For the patients with liver trauma (below grade Ⅲ) and stable hemodynamics，laparoscopic exploration can help to not only give a clear diagnosis and classification but also perform partial hepatectomy to stop bleeding. Although the laparoscopic technique can be used for fast effective treatment with less damage and avoiding unnecessary laparotomy，lots of problems still exist and need to be solved. Emergency physicians should make choice based on the specific circumstances of patients，technical levels of doctors and the hospitals in order to give full play of the advantages of laparoscopic techniques.

Key words: laparoscopy, liver trauma

摘要：

肝脏外伤在腹部损伤中所占比例及其病死率均较高，须尽早诊治。对于急诊肝脏外伤，腹腔镜技术可在诊断的同时根据病情进行相应的治疗，也可为开腹手术方式及切口选择提供参考。对于肝外伤Ⅲ级以下且血流动力学稳定的病人，腹腔镜探查不但可明确诊断和分级，而且可进一步采取直接止血或行部分肝切除术以达到止血的目的。虽然腹腔镜技术可通过较小的创伤快速有效地治疗肝脏外伤，避免了不必要的开腹，但仍存在很多问题和难点须解决。外科医师须根据病人具体情况、自身技术水平和医院所具备条件选择合适的病例，这样才能充分发挥腹腔镜技术的优势，让病人受益。

关键词: 腹腔镜, 肝脏外伤