Clinical application of laparoscopic diagnostic peritoneal lavage (l-dpl) for abdominal stab injury

VernacularTitle:腹腔镜诊断性腹腔灌洗对腹部刀刺伤的临床诊断
Author: Wenming CHEN ; Tingbo LIANG
Publication Type:Journal Article
Keywords: Abdominal injuries; Wounds,stab; Laparoscopy
From: Chinese Journal of Trauma 2012;28(1):49-51
CountryChina
Language:Chinese
Abstract: Objective To assess the role of combined use of laparoscopy with diagnostic peritoneal lavage (DPL) in the diagnosis of abdominal stab injury (ASI). Methods From March 2005 to June 2010,21 cases of abdominal and thoracoabdominal stab injuries were analyzed retrospectively.All the cases were diagnosed laparoscopically first.If no significant injury was detected,1 000 ml of normal saline was infused through the abdominal trocar into the peritoneal cavity and routine/regular study on RBCs,WBC,amylase and bile of the effluent fluid was made. ResultsLaparoscopic diagnosis was positive in five cases,including two cases of diaphragmatic injuries,one traumatic bleeding of liver capsule,one small intestinal perforation and one stomach wall perforation.Laparoscopic diagnosis was negative in 16 cases,of which two were detected as intestinal perforation and repaired by laparotomy.The operation time was (120 ± 35.6) min and the hospital stay was (5.3 ± 3.4) d.There were no major complications after operation. Conclusion Combining the visual advantage of laparoscopy with the sensitivity and specificity of DPL can effectively improve the diagnosis of ASI.