Application of laparoscopy in the management of acute mesenteric ischemia / 国际外科学杂志

ABSTRACT

Accurate determination of intestinal viability is the key step in the management of acute mesenteric ischemia. For patients with the possibility of intestinal necrosis, the application of laparoscopy for the primary exploration or second look, is significantly less invasive than laparotomy, so to avoid the unnecessary operative trauma for those with negative results. For critical patients, application of bed-side laparoscopy, with the avoidance of risks during transport process, is an effective and safer diagnostic method. And the combination with intraoperative indocyanine green fluorescence angiography may further improve the reliability of exploration so to result in more precise surgical management for these severe situation. So in the era of endovascular management for acute mesenteric ischemia, as an mimmally invasive and precise method for accurate determination of existence or not of intestinal necrosis, laparoscopy is effective in further improving the outcome of these patients.