title: [Application of laparoscopic technique in acute abdomen of gastrointestinal surgery].
abstract: OBJECTIVE
  To explore the clinical application of laparoscopy in gastrointestinal abdominal emergency.
  
  
  METHODS
  Clinical data of 44 cases with undefined acute abdomen undergoing laparoscopic surgery from October 2008 to October 2011 were analyzed retrospectively. Sixty-five cases treated by regular surgery during the same period were enrolled as controls.
  
  
  RESULTS
  In laparoscopic surgery group, 42 cases were diagnosed under laparoscopy(95.5%, 42/44). Thirty-four (77.3%,34/44) patients received operation successfully after diagnosis, including 20 of total laparoscopy, 14 of assistant small incision. Compared with control group, laparoscopic group had shorter length of incision[(6.7±2.2) cm vs. (15.8±3.4) cm], less blood loss[(51.4±30.3) ml vs. (117.9±49.5) ml], faster recovery of postoperative gastrointestinal function[postoperative oral intake(15.0±6.1) d vs. (30.5±8.4) d], shorter hospital stay[(5.6±4.2) d vs. (8.4±4.8) d] (all P<0.05), lower complication rate, and less surgical cost(P>0.05).
  
  
  CONCLUSIONS
  Laparoscopy is safe and effective in treating gastrointestinal abdominal emergency and therapeutic operation can be performed after a definite diagnosis.
authors.affiliation: Department of General Surgery, The Chinese PLA General Hospital Hainan Branch, Hainan Sanya 572013, China. ningning301@126.com; duxiaohui301@sina.com.
authors.forename: Ning
authors.initials: N
authors.lastname: Ning
authors.forename: Shao-you
authors.initials: SY
authors.lastname: Xia
authors.forename: Bing
authors.initials: B
authors.lastname: Ma
authors.forename: Rong
authors.initials: R
authors.lastname: Li
authors.forename: Xiao-hui
authors.initials: XH
authors.lastname: DU
mesh_terms: D000006:Abdomen, Acute / Q000601:surgery*; D013505:Digestive System Surgical Procedures; D005767:Gastrointestinal Diseases / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome