Application of laparoscope in diagnosis and treatment of indirect liver injury

    ZHENG Lanª²Dong, LI Lingª²Xia, DING Ying, ZHAN Pengª²Yuan, HUANGFU Shenª²Qiang

    1Department of General Surgery, First Hospital, 2University Hospital, Henan University, Kaifeng 475001, China

    ¡¾Abstract¡¿ AIM: To study the feasibility and value of laparoscope in diagnosing and treating indirect liver injury. METHODS: The clinical effects and experiences of diagnosing and treating 34 cases (31 injury¢ñand¢ò, and 3 injury ¢ó) of indirect liver injury with laparoscope or operation were reviewed. RESULTS: The diagnostic accordance rate for the 34 cases reached 100%. Among the 34 cases, 6 underwent laparoscopy only (18%), 14 underwent electrohemostasis under laparoscope (41%), 7 had laparoscopic repair of liver rupture (21%), 2 had laparoscopic hepatectomy (6%), and 5 changed to laparotomy due to unsatisfactory electrohemostasis. The cure rate was 100%. CONCLUSION: The diagnostic accordance rate is high for the indirect liver injury with laparoscope and the therapeutic effect is satisfactory for the ¢ñ-¢ò grade injury. The application of laparoscope can reduce the blindness of abdominal operations. ......