| Abstract: | Difficulties in differential diagnosis of acute impairement in mesenterial circulation (AIMC) and acute pancreatitis (AP) were noted in 39 patients. At laparoscopy, AP was diagnosed in 21 patient, AIMC--in 11, acute appendicitis--in 3, perforative gastric ulcer--in 2. In 2 patients, no pathologic changes were revealed. The diagnosis established by means of laparoscopy, in 9 patients was confirmed at operation, in 10--at autopsy, in the remaining patients--at dynamic follow-up and use of other methods of investigation. Use of therapeutic laparoscopy contributed to improved of the results of treatment of the patients. |
