LAPAROSCOPY IN DIFFERENTIAL-DIAGNOSIS OF ACUTE ABDOMEN

The work analyses the results of emergency laparoscopy in 4,730 patien ts with acute surgical pathology of the abdominal organs. There were 2 6.3%, of males and 73.7% of females; 26.5% of patients were of an elde rly age. Laparoscopy was undertaken in all cases in which the diagnosi s was questionable but the clinical picture was that of ''acute abdome n'' and in patients with an established diagnosis for conducting thera peutic manipulations: microcholecystostomy, drainage of the abdominal cavity. The authors show differential endoscopic signs of some acute s urgical diseases of the abdominal organs. Laparoscopy confirmed the cl inical diagnosis in 45.5% of cases and revealed indications for an eme rgency operation in 896 patients (33.8%). Laparoscopic microsholecysto stomy was performed 137 times and drainage of the abdominal cavity 398 times. The diagnostic value of laparoscopy came to 97.1% on the avera ge.