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, 黄庆清, 翁迪贵. CO2气腹对腹腔镜手术患者循环呼吸功能的影响. 福建医药杂志, 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.	邓玉萍, 黄焕森. 腹腔镜手术中不同气腹压力对老年患者血流动力学及血气的影响. 临床麻醉学杂志, 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.	谢涛, 肖金苗. 妇科腹腔镜手术气腹压力对机体免疫功能的影响及其临床意义. 中华腔镜外科杂志: 电子版, 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.	董光龙, 刘兢文. 腹腔镜技术在外科急腹症诊治中的应用. 国际外科学杂志, 2014, 41(10): 651-655.
10.	傅继勇, 陈超. 急腹症行腹腔镜手术失败后再手术原因分析. 中华胃肠外科杂志, 2012, 15(6): 608-610.
11.	张星, 胡贤杰. 腹腔镜手术治疗肠镜检查导致的结肠穿孔5例分析. 实用医学杂志, 2012, 28(11): 1927-1928.
12.	周贤, 吴文良, 张应天. 急性坏死性胰腺炎的微创治疗进展. 国际外科学杂志, 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.	刘伟昌, 马秀丽, 刘虎. 急性胆囊炎腹腔镜手术时机选择的Meta分析. 中国医师进修杂志, 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, 孔胜兵, 杨国平, 等. 急性胆囊炎腹腔镜胆囊切除术最佳手时机的选择. 肝胆外科杂志, 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.	高会琦. 腹腔镜胆总管探查联合胆囊切除术治疗胆总管结石并胆囊结石的临床研究. 海南医学, 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.	许升. 粘性肠梗阻腹腔镜下肠粘连松解术64例临床分析. 河南外科学杂志, 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.	饶伟, 徐金明, 黎可, 等. 腹腔镜肠粘连松解术适应证探讨. 重庆医学, 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.	施丹丽, 俞继卫, 姜波健. 肠憩室病的诊断和外科治疗进展. 中国普外基础与临床杂志, 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, 黄庆清, 翁迪贵. CO2气腹对腹腔镜手术患者循环呼吸功能的影响. 福建医药杂志, 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. 邓玉萍, 黄焕森. 腹腔镜手术中不同气腹压力对老年患者血流动力学及血气的影响. 临床麻醉学杂志, 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. 谢涛, 肖金苗. 妇科腹腔镜手术气腹压力对机体免疫功能的影响及其临床意义. 中华腔镜外科杂志: 电子版, 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. 董光龙, 刘兢文. 腹腔镜技术在外科急腹症诊治中的应用. 国际外科学杂志, 2014, 41(10): 651-655.
10. 傅继勇, 陈超. 急腹症行腹腔镜手术失败后再手术原因分析. 中华胃肠外科杂志, 2012, 15(6): 608-610.
11. 张星, 胡贤杰. 腹腔镜手术治疗肠镜检查导致的结肠穿孔5例分析. 实用医学杂志, 2012, 28(11): 1927-1928.
12. 周贤, 吴文良, 张应天. 急性坏死性胰腺炎的微创治疗进展. 国际外科学杂志, 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. 刘伟昌, 马秀丽, 刘虎. 急性胆囊炎腹腔镜手术时机选择的Meta分析. 中国医师进修杂志, 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, 孔胜兵, 杨国平, 等. 急性胆囊炎腹腔镜胆囊切除术最佳手时机的选择. 肝胆外科杂志, 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. 高会琦. 腹腔镜胆总管探查联合胆囊切除术治疗胆总管结石并胆囊结石的临床研究. 海南医学, 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. 许升. 粘性肠梗阻腹腔镜下肠粘连松解术64例临床分析. 河南外科学杂志, 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. 饶伟, 徐金明, 黎可, 等. 腹腔镜肠粘连松解术适应证探讨. 重庆医学, 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. 施丹丽, 俞继卫, 姜波健. 肠憩室病的诊断和外科治疗进展. 中国普外基础与临床杂志, 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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Present Situation and Progress in The Application of Laparoscopy in Treatment of Acute Abdomen

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