Laparoscopy in the Acute Abdomen.
- Author:
In Seok CHOI
1
;
Ki Hoon JUNG
;
Seon Hahn KIM
Author Information
1. Department of Surgery, College of Medicine, Konyang University.
- Publication Type:Original Article
- Keywords:
Laparoscopy;
Acute abdomen
- MeSH:
Abdomen, Acute*;
Appendicitis;
Child;
Colon;
Constriction, Pathologic;
Corpus Luteum;
Duodenal Ulcer;
Female;
Hernia;
Humans;
Intussusception;
Laparoscopy*;
Liver Abscess;
Peritonitis;
Peritonitis, Tuberculous;
Pregnancy;
Pregnancy, Ectopic;
Prospective Studies;
Rupture;
Spleen;
Subphrenic Abscess
- From:Journal of the Korean Surgical Society
2000;59(2):229-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We assessed the feasibility and efficacy of a laparoscopic approach in surgically managing various conditions of the acute abdomen. METHODS: This report presents preliminary data from our ongoing prospective study. Sixty patients underwent a diagnostic or a therapeutic laparoscopy for acute or subacute abdominal conditions between July 1997 and September 1998. RESULTS: Conditions were classified into trauma (n=8), peritonitis (n=41), and obstruction (n=11). Trauma included 5 blunt (2 small bowel perforations, 1 spleen rupture, 2 mesenteric ruptures) and 3 stab injuries. Peritonitis included 23 duodenal ulcer perforations, 10 acute cholecytitis/empyema, 3 colon perforations, 1 tuberculous peritonitis, 1 ectopic pregnancy, 1 ruptured corpus luteum, 1 appendicitis, and 1 ruptured liver abscess. Obstruction included 5 intussusceptions (4 Children, 1 adult), 2 intestinal adhesions; and 4 congenital hypertropic pyloric stenoses. Among the 54 cases of therapeutic laparoscopy, 9 cases were converted during the procedure (conversion rate: 16.7%). There were 2 intraoperative (bowel perforation) and 4 postoperative (1 subphrenic abscess, 1 incomplete adhesiolysis, 1 port site hernia, 1 port-site seroma) complications. CONCLUSION: Our preliminary data may justify further clinical study to clarify the role of laparoscopy in managing acute or subacute abdominal conditions.
