ABSTRACT
Objective To investigate laparoscopic management in patients of posttraumatic acute acaleulous cholecystitis (AAC).Methods In this study,laparoscopic exploration was performed in 14 AAC cases during the past 5 years.Results Nine patients were treated with laparoscopic cholecystectomy,three by laparoscopic subtotal cholecystectomy,two were converted to open surgery.All patients were cured without major complications.Conclusions Laparoscopic cholecystectomy in the treatment of AAC is safe,less traumatic and quickly recovery in carefully selected AAC patients.
ABSTRACT
Objective To explore the diagnosis and surgical treatment for rupture of small intestine.Methods Diagnostic methods and surgical treartment of 78 closed rupture of small intestine were analyzed retrospectively.Results The positive rates of abdominal puncture and abdominal X ray were 89.7% and 32.0%,respectively 30.7% cases were complicated with other organs injured.All the patients were performed on the surgical operation,among which repairment for the small intestine rupture was performed in 58 cases(74.4%),partial resection of small intestine was performed in 18 cases (23.1%) and anastomsis of small intestine performed in 2 cases (2.5%).4 cases were reoperated because of delayed rupture of small intestine.3 cases died of MODS.Conclusion Diagnostic abdominal puncture plays an important role in the early diagnosis of closed rupture of small intestine.The selection of operative method is based on the degree of rupture.Suitable application of antibiotics is the key to reducing the complications.
ABSTRACT
Objective To explore the diagnosis and surgical treatment for rupture of small intestine.Methods Diagnostic methods and surgical treartment of 78 closed rupture of small intestine were analyzed retrospectively.Results The positive rates of abdominal puncture and abdominal X-ray were 89.7% and 32.0%,respectively 30.7% cases were complicated with other organs injured.All the patients were performed on the surgical operation,among which repairment for the small intestine rupture was performed in 58 cases(74.4%),partial resection of small intestine was performed in 18 cases (23.1%) and anastomsis of small intestine performed in 2 cases (2.5%).4 cases were reoperated because of delayed rupture of small intestine.3 cases died of MODS.Conclusion Diagnostic abdominal puncture plays an important role in the early diagnosis of closed rupture of small intestine.The selection of operative method is based on the degree of rupture.Suitable application of antibiotics is the key to reducing the complications.