ObjectiveTo investigate the clinical effect of laparoscopic technique in the treatment of acute abdomen in gastrointestinal surgery. MethodsA total of 150 patients with acute abdomen were selected as the research objects, and they were divided into laparoscopic group (n=75) and laparotomy group (n=75) according to the treatment plan. The perioperative indicators (operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative ambulation time, urinary catheter removal time, postoperative hospital stay), as well as the inflammatory indicators (CRP, PCT level) before and after surgery, and occurrence of postoperative complications were compared between the two groups. ResultsThere was no statistically significant difference in the operation time between the two group (P＞0.05). The intraoperative blood loss in the laparoscopic group was less than that in the laparotomy group, the postoperative ambulation time, postoperative anal exhaust time and urinary catheter removal time in the laparoscopic group were earlier than those in the laparotomy group, and the postoperative hospital stay was shorter than that in the laparotomy group (all P＜0.05). After operation, the serum CRP and PCT levels of the two groups were increased compared with those before operation, but the serum CRP and PCT levels in the laparoscopic group were lower than those in the laparotomy group, with statistically significant differences (all P＜0.05). The total incidence of complications in the laparoscopic group was 1.33 %, which was significantly lower than the 9.33 % in the laparotomy group (P＜0.05). ConclusionsCompared with conventional laparotomy, laparoscopic technique has a better effect in the treatment of acute abdomen, which can reduce the intraoperative blood loss, systemic stress responses, and the incidence of complications, benefit patients′ early postoperative ambulation and shorten the hospital stay.

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