Introduction: Diagnostic images could help to diagnose the lesions of solid viscera in abdominal trauma exactly but iI exits many cases being very difficult to define. Abdominal laparoscopy is a mini-invasive teachnic can not only diagnose the lesions of solid viscera exactly but also treat non complicated lesions to minimize the laparotomy. Method: Perspective research. All patients having lesions of solid viscera were diagnosed and treated by laparoscopy. Result: 39 patients having lesions of solid viscera were diagnosed and treated by laparoscopy, their lesions composed of 19 hepatic lesions, 16 spenic lesions, 4 renal lesions, 4 pancreatic lesions. By laparoscopy, the suture and electric coagulation were used to stop bleeding for 8 hepatic lesions, 9 splenic lesions... The time of operation was short: 91,3 +/- 48,5 minutes. There weren't missed lesions and complications. Postoperative result was uneventful. Conclusion: Laparoscopy is exact, safe, fesible procedure for diagnosis and treatment of lesions of solid viscera. It is applied when' there are suscpicious diagnosis which the diagnostic image could'n affirm.
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