Laparoscopy in the diagnosis and treatment of acute abdomen

Abstract

Objective To investigate the feasibility of laparoscopic technique in the diagnosis and treatment of a-cute abdomen. Methods The clinical data of 121 patients with acute abdomen were retrospectively analyzed,including 55 cases in laparoscopic group and 66 cases in laparotomy group. Results The 121 cases were clearly diagnosed. In Laparo-scopic group,51 cases were completed in laparoscopic surgery,4 cases converted to laparotomy,the laparotomy rate was 7. 3% . Laparoscopic group compared with laparotomy group,the rate of complications was 7. 3%（4/ 55）vs 22. 7%（15/ 66） （P ﹤0. 05）,operative time was（83 ±16）min vs（78 ± 20）min（P ﹥ 0. 05）,hospitalization was（5. 1 ± 0. 8）d vs（6. 3 ± 1. 5）d（P ﹤0. 05）. Conclusions The diagnosis and treatment of acute abdominal with laparoscopy,has minimum trauma, shorter hospitalization and less complication. The laparoscopy can be used to treatment acute abdomen as the preferred way. Key words: Laparoscopy; Acute abdomen; Complication; Surgical treatment