Laparoscopy Exploration

[Laparoscopy] Laparoscopy Exploration

When it is difficult to make a diagnosis through laboratory examinations and a variety of imaging diagnostic techniques, laparoscopy shows its unique and accurate diagnostic function, which can make up for the lack of laboratory examinations and imaging examinations. Laparoscopic exploration has fewer complications and less pain. It can not only directly observe normal organs and diseased tissues, but also biopsy under direct vision, obtain evidence of disease examination, accurate assessment by surgeons, and assist in treatment. The latter is diagnosed for the disease, and surgical treatment is immediately feasible. Most of them replaced the previous exploratory laparotomy, and tried to avoid blind laparotomy. In terms of diagnosis, it is used in the diagnosis of abdominal trauma, hepatitis, tuberculosis, ascites, abdominal mass, abdominal metastasis, and liver cancer. For tumor staging and intra-abdominal malignant tumors, the preoperative laparoscopic staging is accurate, which can avoid unnecessary laparotomy.

Laparoscopic surgery is what we often call "punch" surgery. In fact, laparoscopy is not only used for surgery. Laparoscopy in the field of surgery has the following three characteristics at the same time: that is, it can be used for diagnosis and treatment with laparoscopy, and it has the characteristics of minimally invasive. Laparoscopy is almost omnipresent. More than 95% of abdominal and pelvic organs can be operated under laparoscopy. Laparoscopy extends the surgeon’s sight into the abdominal cavity without opening the abdominal cavity. Under laparoscopy, the various organs in the abdominal cavity can be clearly enlarged, and various lesions on the surface can be clearly seen, and what you see is saved by computer image.

Why should laparoscopic exploration be performed? cause

Laparoscopic exploration can make up for the shortcomings of traditional imaging examination, and provide reliable basis for further clinical diagnosis. In the diagnosis of many difficult and miscellaneous diseases in abdominal surgery, such as unknown acute and chronic abdominal pain, the accuracy rate of laparoscopic diagnosis is much higher than that of B-ultrasound and CT, so as to avoid the delay caused by unknown diagnosis.Not only that, once the diagnosis of diagnostic laparoscopy is clear, most diseases can be cured directly under laparoscopy. More importantly, it is a minimally invasive surgery that only causes minor trauma to the patient.

General laparoscopic diagnosis

Indications

Diagnosis of unexplained acute and chronic abdominal pain

Detection of abdominal injuries

Staging of abdominal malignancies

Biopsy and differential diagnosis of liver disease

Differential diagnosis of ascites

Diagnosis of gynecological infertility

Contraindications

Severe cardiopulmonary dysfunction

Hemodynamic instability

Difficult to correct coagulation dysfunction

Severe liver dysfunction or large amounts of ascites

Severe infection in the abdominal wall and in the abdominal cavity

Multiple abdominal surgery is estimated to be extensive adhesions in the abdominal cavity

Larger hiatal hernia

Diaphragm rupture

Mechanical or paralytic intestinal obstruction