Simplified laparoscopic approach to "second-look" laparotomy: A review

被引:17
|
作者
Seshadri, PA [1 ]
Poulin, EC [1 ]
Mamazza, J [1 ]
Schlachta, CM [1 ]
机构
[1] Univ Toronto, St Michaels Hosp, Ctr Minimally Invas Surg, Toronto, ON M4Y 1J3, Canada
来源
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 1999年 / 9卷 / 04期
关键词
laparoscopic procedures; mesenteric ischemia; second-look laparoscopy; bowel disease;
D O I
10.1097/00019509-199908000-00012
中图分类号
R61 [外科手术学];
学科分类号
摘要
Acute mesenteric vascular accidents are being diagnosed more commonly as a consequence of an aging population and often result in emergency bowel resection for ischemia. Because predicting postoperative intestinal viability remains difficult, second-look laparotomy has been advocated to improve outcomes. Recently, laparoscopy has emerged as an alternative to laparotomy for the diagnosis and treatment of ongoing postoperative ischemia. A review of the literature since 1994 reveals that, to date, 19 procedures have been reported to prevent 13 (68%) unnecessary laparotomies. We describe our laparoscopic second-look technique and review the literature. Second-look laparoscopy has been shown repeatedly to be a safe alternative to laparotomy. It is simple and reduces negative second-look laparotomy in critically ill patients.
引用
收藏
页码:286 / 289
页数:4
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