Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 OUMeng-chuan ¹ , YANGXian-jin ² ,  WANGChong-shu ^1,3

1. The First Department of General Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, Sichuan Province, China;
2. The Second Department of General Surgery, The First People's Hospital of Neijiang, Neijiang 641000, Sichuan Province, China;
3. Institute of Hepato-Biliary-Pancreas and Intestinal Disease, North Sichuan Medical College, Nanchong 637000, Sichuan Province, China;

Corresponding?author：

WANGChong-shu, Email: chongs-wang@163.com

Keywords：

Trauma; Hemorrhage; Tranexamic acid; Hemostasis

DOI：

10.7507/1007-9424.20160099

Video：

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Objective To explore the diagnostic and therapeutic value of laparoscopy in acute abdomen. Methods Related literatures were collected to analyze the advantages, the scope of application, and the effect on the body of laparo-scopy, and to clearly defined the indications of laparoscopy in acute abdomen and related taboos. Results Most people could be tolerated for CO₂ pneumoperitoneum. Laparoscopic surgery had a certain advantages compared with open surgery in the diagnosis and treatment. It was widely used in the diagnosis and treatment of acute abdomen. Conclusion Laparo-scopic surgery is recommended for acute appendicitis, acute cholecystitis, peptic ulcer perforation, and so on, but it is still controversial in intestinal obstruction, intestinal diverticulum perforation, and the application of abdominal trauma, which need more randomized controlled studies comparing with open operation.

Citation： OUMeng-chuan, YANGXian-jin, WANGChong-shu. Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2016, 23(3): 378-381. doi: 10.7507/1007-9424.20160099 Copy

1.	林石全, 黃慶清, 翁迪貴. CO2氣腹對腹腔鏡手術患者循環呼吸功能的影響. 福建醫藥雜志, 2014, 36(3): 152-153.
2.	Koivusalo AM, Pere P, Valjus M, et al. Laparoscopic cholecystec-tomy with carbon dioxide pneumoperitoneum is safe even for high-risk patients. Surg Endosc, 2008, 22(1): 61-67.
3.	鄧玉萍, 黃煥森. 腹腔鏡手術中不同氣腹壓力對老年患者血流動力學及血氣的影響. 臨床麻醉學雜志, 2011, 27(8): 741-743.
4.	Kuebler JF, Kos M, Jesch NK, et al. Carbon dioxide suppresses macrophage superoxide anion production independent of extrace-llular pH and mitochondrial activity. J Pediatr Surg, 2007, 42(1): 244-248.
5.	謝濤, 肖金苗. 婦科腹腔鏡手術氣腹壓力對機體免疫功能的影響及其臨床意義. 中華腔鏡外科雜志: 電子版, 2014, 7(3): 212-215.
6.	Metzelder M, Kuebler JF, Shimotakahara A, et al. CO2 pneumoperi-toneum increases survival in mice with polymicrobial peritonitis. Eur J Pediatr Surg, 2008, 18(3): 171-175.
7.	Hanly EJ, Fuentes JM, Aurora AR, et al. Carbon dioxide pneumo-peritoneum prevents mortality from sepsis. Surg Endosc, 2006, 20(9): 1482-1487.
8.	Schietroma M, Piccione F, Carlei F, et al. Peritonitis from perforated peptic ulcer and immune response. J Invest Surg, 2013, 26(5): 294-304.
9.	董光龍, 劉兢文. 腹腔鏡技術在外科急腹癥診治中的應用. 國際外科學雜志, 2014, 41(10): 651-655.
10.	傅繼勇, 陳超. 急腹癥行腹腔鏡手術失敗后再手術原因分析. 中華胃腸外科雜志, 2012, 15(6): 608-610.
11.	張星, 胡賢杰. 腹腔鏡手術治療腸鏡檢查導致的結腸穿孔5例分析. 實用醫學雜志, 2012, 28(11): 1927-1928.
12.	周賢, 吳文良, 張應天. 急性壞死性胰腺炎的微創治療進展. 國際外科學雜志, 2013, 40(12): 844-847.
13.	Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis. Arch Surg, 2002, 137(7): 799-804.
14.	van den Broek WT, Bijnen AB, de Ruiter P, et al. A normal appendix found during diagnostic laparoscopy should not be removed. Br J Surg, 2001, 88(2): 251-254.
15.	Sauerland S, Agresta F, Bergamaschi R, et al. Laparoscopy for abdo-minal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc, 2006, 20(1): 14-29.
16.	Li X, Zhang J, Sang L, et al. Laparoscopic versus conventional appendectomy-a meta-analysis of randomized controlled trials. BMC Gastroenterol, 2010, 10: 129.
17.	Mason RJ, Moazzez A, Moroney JR, et al. Laparoscopic vs open appendectomy in obese patients: outcomes using the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg, 2012, 215(1): 88-100.
18.	Masoomi H, Nguyen NT, Dolich MO, et al. Comparison of laparo-scopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population. Am J Surg, 2011, 202(6): 733-739.
19.	Hartwich JE, Carter RF, Wolfe L, et al. The effects of irrigation on outcomes in cases of perforated appendicitis in children. J Surg Res, 2013, 180(2): 222-225.
20.	St Peter SD, Adibe OO, Iqbal CW, et al. Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis:a prospective randomized trial. Ann Surg, 2012, 256(4): 581-585.
21.	Coccolini F, Catena F, Pisano M, et al. Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis. Int J Surg, 2015, 24(Part A): 196-204.
22.	劉偉昌, 馬秀麗, 劉虎. 急性膽囊炎腹腔鏡手術時機選擇的Meta分析. 中國醫師進修雜志, 2014, 37(z1): 25-28.
23.	Shinke G, Noda T, Hatano H, et al. Feasibility and safety of urgent laparoscopic cholecystectomy for acute cholecystitis after 4 days from symptom onset. J Gastrointest Surg, 2015, 19(10): 1787-1793.
24.	李忠山, 孔勝兵, 楊國平, 等. 急性膽囊炎腹腔鏡膽囊切除術最佳手時機的選擇. 肝膽外科雜志, 2013, 21(6): 426-428.
25.	Sankarankutty A, da Luz LT, de Campos T, et al. Uncomplicated acute cholecystitis: early or delayed laparoscopic cholecystectomy?. Rev Col Bras Cir, 2012, 39(5): 436-440.
26.	Nebiker CA, Baierlein SA, Beck S, et al. Is routine MR cholangiopan-creatography (MRCP) justified prior to cholecystectomy?. Langen-becks Arch Surg, 2009, 394(6): 1005-1010.
27.	高會琦. 腹腔鏡膽總管探查聯合膽囊切除術治療膽總管結石并膽囊結石的臨床研究. 海南醫學, 2014, 25(15): 2216-2219.
28.	Thorsen K, Glomsaker TB, von Meer A, et al. Trends in diagnosis and surgical management of patients with perforated peptic ulcer. J Gastrointest Surg, 2011, 15(8): 1329-1335.
29.	Sanabria AE, Morales CH, Villegas MI. Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev, 2005, 28(4): CD004778.
30.	Bertleff MJ, Lange JF. Laparoscopic correction of perforated peptic ulcer: first choice? A review of literature. Surg Endosc, 2010, 24(6): 1231-1239.
31.	Lo HC, Wu SC, Huang HC, et al. Laparoscopic simple closure alone is adequate for low risk patients with perforated peptic ulcer. World J Surg, 2011, 35(8): 1873-1878.
32.	Bonin EA, Moran E, Gostout CJ, et al. Natural orifice transluminal endoscopic surgery for patients with perforated peptic ulcer. Surg Endosc, 2012, 26(6): 1534-1538.
33.	Zimmermann M, Hoffmann M, Laubert T, et al. Conversion of laparoscopic surgery for perforated peptic ulcer: a single-center study Surg Today, 2015, 45(11): 1421-1428.
34.	Navez B, Navez J. Laparoscopy in the acute abdomen. Best Pract Res Clin Gastroenterol, 2014, 28(1): 3-17.
35.	許升. 粘性腸梗阻腹腔鏡下腸粘連松解術64例臨床分析. 河南外科學雜志, 2014, 20(6): 39-40.
36.	Wiggins T, Markar SR, Harris A. Laparoscopic adhesiolysis for acute small bowel obstruction: systematic review and pooled analysis. Surg Endosc, 2015, 29(12): 3432-3442.
37.	饒偉, 徐金明, 黎可, 等. 腹腔鏡腸粘連松解術適應證探討. 重慶醫學, 2013, 42(5): 595-596.
38.	Farinella E, Cirocchi R, La Mura F, et al. Feasibility of laparoscopy for small bowel obstruction. World J Emerg Surg, 2009, 4: 3.
39.	Dindo D, Schafer M, Muller MK, et al. Laparoscopy for small bowel obstruction: the reason for conversion matters. Surg Endosc, 2010, 24(4): 792-797.
40.	Fortea-Sanchis C, Priego-Jiménez P, Martínez-Ramos D, et al. A preliminary experience in the laparoscopic approach to bowel obstruction. Rev Gastroenterol Mex, 2013, 78(4): 219-224.
41.	施丹麗, 俞繼衛, 姜波健. 腸憩室病的診斷和外科治療進展. 中國普外基礎與臨床雜志, 2012, 19(1): 113-115.
42.	Toorenvliet BR, Swank H, Schoones JW, et al. Laparoscopic perito-neal lavage for perforated colonic diverticulitis: a systematic review. Colorectal Dis, 2010, 12(9): 862-867.
43.	O,malley E, Boyle E, O'callaghan A, et al. Role of laparoscopy in penetrating abdominal trauma: a systematic review. World J Surg, 2013, 37(1): 113-122.
44.	Powell BS, Magnotti LJ, Schroeppel TJ, et al. Diagnostic laparoscopy for the evaluation of occult diaphragmatic injury following penetrating thoracoabdominal trauma. Injury, 2008, 39(5): 530-534.
45.	Bhagvan S, Turai M, Holden A, et al. Predicting hollow viscus injury in blunt abdominal trauma with computed tomography. World J Surg, 2013, 37(1): 123-126.
46.	Zafar SN, Onwugbufor MT, Hughes K, et al. Laparoscopic surgery for trauma: the realm of therapeutic management. Am J Surg, 2015, 209(4): 627-632.

1. 林石全, 黃慶清, 翁迪貴. CO2氣腹對腹腔鏡手術患者循環呼吸功能的影響. 福建醫藥雜志, 2014, 36(3): 152-153.
2. Koivusalo AM, Pere P, Valjus M, et al. Laparoscopic cholecystec-tomy with carbon dioxide pneumoperitoneum is safe even for high-risk patients. Surg Endosc, 2008, 22(1): 61-67.
3. 鄧玉萍, 黃煥森. 腹腔鏡手術中不同氣腹壓力對老年患者血流動力學及血氣的影響. 臨床麻醉學雜志, 2011, 27(8): 741-743.
4. Kuebler JF, Kos M, Jesch NK, et al. Carbon dioxide suppresses macrophage superoxide anion production independent of extrace-llular pH and mitochondrial activity. J Pediatr Surg, 2007, 42(1): 244-248.
5. 謝濤, 肖金苗. 婦科腹腔鏡手術氣腹壓力對機體免疫功能的影響及其臨床意義. 中華腔鏡外科雜志: 電子版, 2014, 7(3): 212-215.
6. Metzelder M, Kuebler JF, Shimotakahara A, et al. CO2 pneumoperi-toneum increases survival in mice with polymicrobial peritonitis. Eur J Pediatr Surg, 2008, 18(3): 171-175.
7. Hanly EJ, Fuentes JM, Aurora AR, et al. Carbon dioxide pneumo-peritoneum prevents mortality from sepsis. Surg Endosc, 2006, 20(9): 1482-1487.
8. Schietroma M, Piccione F, Carlei F, et al. Peritonitis from perforated peptic ulcer and immune response. J Invest Surg, 2013, 26(5): 294-304.
9. 董光龍, 劉兢文. 腹腔鏡技術在外科急腹癥診治中的應用. 國際外科學雜志, 2014, 41(10): 651-655.
10. 傅繼勇, 陳超. 急腹癥行腹腔鏡手術失敗后再手術原因分析. 中華胃腸外科雜志, 2012, 15(6): 608-610.
11. 張星, 胡賢杰. 腹腔鏡手術治療腸鏡檢查導致的結腸穿孔5例分析. 實用醫學雜志, 2012, 28(11): 1927-1928.
12. 周賢, 吳文良, 張應天. 急性壞死性胰腺炎的微創治療進展. 國際外科學雜志, 2013, 40(12): 844-847.
13. Flum DR, Koepsell T. The clinical and economic correlates of misdiagnosed appendicitis. Arch Surg, 2002, 137(7): 799-804.
14. van den Broek WT, Bijnen AB, de Ruiter P, et al. A normal appendix found during diagnostic laparoscopy should not be removed. Br J Surg, 2001, 88(2): 251-254.
15. Sauerland S, Agresta F, Bergamaschi R, et al. Laparoscopy for abdo-minal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc, 2006, 20(1): 14-29.
16. Li X, Zhang J, Sang L, et al. Laparoscopic versus conventional appendectomy-a meta-analysis of randomized controlled trials. BMC Gastroenterol, 2010, 10: 129.
17. Mason RJ, Moazzez A, Moroney JR, et al. Laparoscopic vs open appendectomy in obese patients: outcomes using the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg, 2012, 215(1): 88-100.
18. Masoomi H, Nguyen NT, Dolich MO, et al. Comparison of laparo-scopic versus open appendectomy for acute nonperforated and perforated appendicitis in the obese population. Am J Surg, 2011, 202(6): 733-739.
19. Hartwich JE, Carter RF, Wolfe L, et al. The effects of irrigation on outcomes in cases of perforated appendicitis in children. J Surg Res, 2013, 180(2): 222-225.
20. St Peter SD, Adibe OO, Iqbal CW, et al. Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis:a prospective randomized trial. Ann Surg, 2012, 256(4): 581-585.
21. Coccolini F, Catena F, Pisano M, et al. Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis. Int J Surg, 2015, 24(Part A): 196-204.
22. 劉偉昌, 馬秀麗, 劉虎. 急性膽囊炎腹腔鏡手術時機選擇的Meta分析. 中國醫師進修雜志, 2014, 37(z1): 25-28.
23. Shinke G, Noda T, Hatano H, et al. Feasibility and safety of urgent laparoscopic cholecystectomy for acute cholecystitis after 4 days from symptom onset. J Gastrointest Surg, 2015, 19(10): 1787-1793.
24. 李忠山, 孔勝兵, 楊國平, 等. 急性膽囊炎腹腔鏡膽囊切除術最佳手時機的選擇. 肝膽外科雜志, 2013, 21(6): 426-428.
25. Sankarankutty A, da Luz LT, de Campos T, et al. Uncomplicated acute cholecystitis: early or delayed laparoscopic cholecystectomy?. Rev Col Bras Cir, 2012, 39(5): 436-440.
26. Nebiker CA, Baierlein SA, Beck S, et al. Is routine MR cholangiopan-creatography (MRCP) justified prior to cholecystectomy?. Langen-becks Arch Surg, 2009, 394(6): 1005-1010.
27. 高會琦. 腹腔鏡膽總管探查聯合膽囊切除術治療膽總管結石并膽囊結石的臨床研究. 海南醫學, 2014, 25(15): 2216-2219.
28. Thorsen K, Glomsaker TB, von Meer A, et al. Trends in diagnosis and surgical management of patients with perforated peptic ulcer. J Gastrointest Surg, 2011, 15(8): 1329-1335.
29. Sanabria AE, Morales CH, Villegas MI. Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev, 2005, 28(4): CD004778.
30. Bertleff MJ, Lange JF. Laparoscopic correction of perforated peptic ulcer: first choice? A review of literature. Surg Endosc, 2010, 24(6): 1231-1239.
31. Lo HC, Wu SC, Huang HC, et al. Laparoscopic simple closure alone is adequate for low risk patients with perforated peptic ulcer. World J Surg, 2011, 35(8): 1873-1878.
32. Bonin EA, Moran E, Gostout CJ, et al. Natural orifice transluminal endoscopic surgery for patients with perforated peptic ulcer. Surg Endosc, 2012, 26(6): 1534-1538.
33. Zimmermann M, Hoffmann M, Laubert T, et al. Conversion of laparoscopic surgery for perforated peptic ulcer: a single-center study Surg Today, 2015, 45(11): 1421-1428.
34. Navez B, Navez J. Laparoscopy in the acute abdomen. Best Pract Res Clin Gastroenterol, 2014, 28(1): 3-17.
35. 許升. 粘性腸梗阻腹腔鏡下腸粘連松解術64例臨床分析. 河南外科學雜志, 2014, 20(6): 39-40.
36. Wiggins T, Markar SR, Harris A. Laparoscopic adhesiolysis for acute small bowel obstruction: systematic review and pooled analysis. Surg Endosc, 2015, 29(12): 3432-3442.
37. 饒偉, 徐金明, 黎可, 等. 腹腔鏡腸粘連松解術適應證探討. 重慶醫學, 2013, 42(5): 595-596.
38. Farinella E, Cirocchi R, La Mura F, et al. Feasibility of laparoscopy for small bowel obstruction. World J Emerg Surg, 2009, 4: 3.
39. Dindo D, Schafer M, Muller MK, et al. Laparoscopy for small bowel obstruction: the reason for conversion matters. Surg Endosc, 2010, 24(4): 792-797.
40. Fortea-Sanchis C, Priego-Jiménez P, Martínez-Ramos D, et al. A preliminary experience in the laparoscopic approach to bowel obstruction. Rev Gastroenterol Mex, 2013, 78(4): 219-224.
41. 施丹麗, 俞繼衛, 姜波健. 腸憩室病的診斷和外科治療進展. 中國普外基礎與臨床雜志, 2012, 19(1): 113-115.
42. Toorenvliet BR, Swank H, Schoones JW, et al. Laparoscopic perito-neal lavage for perforated colonic diverticulitis: a systematic review. Colorectal Dis, 2010, 12(9): 862-867.
43. O,malley E, Boyle E, O'callaghan A, et al. Role of laparoscopy in penetrating abdominal trauma: a systematic review. World J Surg, 2013, 37(1): 113-122.
44. Powell BS, Magnotti LJ, Schroeppel TJ, et al. Diagnostic laparoscopy for the evaluation of occult diaphragmatic injury following penetrating thoracoabdominal trauma. Injury, 2008, 39(5): 530-534.
45. Bhagvan S, Turai M, Holden A, et al. Predicting hollow viscus injury in blunt abdominal trauma with computed tomography. World J Surg, 2013, 37(1): 123-126.
46. Zafar SN, Onwugbufor MT, Hughes K, et al. Laparoscopic surgery for trauma: the realm of therapeutic management. Am J Surg, 2015, 209(4): 627-632.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen

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