| 腹腔镜在腹部闭合性损伤中的应用 |
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| 引用本文： | 杨翀,周林,王平,叶欣,蔡阳,董兵,韩石平.腹腔镜在腹部闭合性损伤中的应用[J].中国微创外科杂志,2004,4(3):214-215. |
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| 作者姓名： | 杨翀 周林 王平 叶欣 蔡阳 董兵 韩石平 |
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| 作者单位： | 1. 杭州市红十字会医院普外科,杭州,310003
2. 杭州市第一人民医院普外科,杭州,310000 |
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| 摘 要： | 目的探讨腹腔镜在腹部闭合性损伤中的应用. 方法 2000年7月～2003年12月我院对21例血流动力学稳定的腹部闭合性损伤急诊行腹腔镜探查及治疗. 结果 21例均在腹腔镜下明确诊断.开腹肝修补术4例,腹腔镜肝修补术2例,开腹脾切除术5例,手助腹腔镜脾切除术3例,腹腔镜辅助下小切口小肠修补术2例,小肠部分切除术4例,腹腔镜大网膜血管缝扎止血1例. 结论腹腔镜诊治腹部闭合性外伤准确、安全、有效.
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| 关 键 词： | 腹腔镜 闭合性损伤 腹腔探查 |
| 文章编号： | 1009-6604(2004)03-0214-02 |
| 修稿时间： | 2004年2月11日 |
Application of laparoscopy in closed abdominal trauma |
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| Yang Chong,Zhou Lin,Wang Ping,et al..Application of laparoscopy in closed abdominal trauma[J].Chinese Journal of Minimally Invasive Surgery,2004,4(3):214-215. |
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| Authors: | Yang Chong Zhou Lin Wang Ping |
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| Institution: | Yang Chong,Zhou Lin,Wang Ping,et al. Department of General Surgery,Hangzhou Red Cross Hospital,Hangzhou 310003,China |
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| Abstract: | Objective To study the clinical application of laparoscopy in the treatment of closed abdominal trauma. Methods Emergent laparoscopic exploration and treatment was conducted in 21 patients with closed abdominal trauma, who had stable hemodynamic parameters,from July 2000 to December 2003. Results Diagnosis was clarified laparoscopically in all the 21 patients. There were 4 cases of open liver repair, 2 cases of laparoscopic liver repair, 5 cases of open splenectomy, 3 cases of hand-assisted laparoscopic splenectomy, 2 cases of video-assisted small incisional intestinal repair, 4 cases of partial intestinal resection and 1 case of laparoscopic greater omentum hemostasis. Conclusions Laparoscopy in the diagnosis and treatment of closed abdominal trauma is accurate, safe and effective. |
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| Keywords: | Laparoscopy Closed abdominal trauma Intraabdominal exploration |
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