Application of laparoscopy in the management of acute mesenteric ischemia
10.3760/cma.j.cn115396-20221111-00382
- VernacularTitle:腹腔镜技术在急性肠系膜血管缺血性疾病诊疗中的应用
- Author:
Xiaoqiao ZHANG
1
;
Qingzhao ZHANG
Author Information
1. 山东第一医科大学附属省立医院(山东省立医院)胃肠外科，济南 250021
- Keywords:
Laparoscopes;
Mesentery;
Ischemia;
Fluorescence angiography
- From:
International Journal of Surgery
2022;49(12):797-801
- CountryChina
- Language:Chinese
-
Abstract:
Accurate determination of intestinal viability is the key step in the management of acute mesenteric ischemia. For patients with the possibility of intestinal necrosis, the application of laparoscopy for the primary exploration or second look, is significantly less invasive than laparotomy, so to avoid the unnecessary operative trauma for those with negative results. For critical patients, application of bed-side laparoscopy, with the avoidance of risks during transport process, is an effective and safer diagnostic method. And the combination with intraoperative indocyanine green fluorescence angiography may further improve the reliability of exploration so to result in more precise surgical management for these severe situation. So in the era of endovascular management for acute mesenteric ischemia, as an mimmally invasive and precise method for accurate determination of existence or not of intestinal necrosis, laparoscopy is effective in further improving the outcome of these patients.
