腹腔镜下肠粘连松解术16例临床分析

Clinical analysis on the laparoscopic enterolysis for 16 cases

目的探讨治疗粘连性肠梗阻的新方法。方法对因粘连性肠梗阻行腹腔镜下肠粘连松解术16例病人进行回顾性分析。结果手术成功率是87.5%(14/16)。2例失败由于腹腔广泛严重粘连而中转剖腹行粘连松解及小肠折叠术。平均手术时间是58mins;术中出血量为20ml～100ml。术后平均住院3天,无手术死亡及其它手术后并发症。结论腹腔镜下肠粘连松解术具有创伤小,术后恢复快,手术后并症少,住院时间短等优点。它为粘连性肠梗阻治疗提供一种新方法。它的手术指征是单纯性不完全性粘连肠梗阻及症状反复发作。

Objective To investigate the new method in the treatment of adhesive intestinal obstruction. Methods 16patients with adhesive intestinal obstruction who underwent laparoscopic enterolysis were analyzed retrospectively. Results sueceful rate of this procedure was87.5%(14/16).2cases was failure becatise of exten-sive and severe adhesion in the abdominal cavity,and then the2cases were transferred to laparostomy.The en-terolysis and plication of intestine were done.Average operative time was58mins.Amount of bleeding was20ml～100ml during operation and average hospitalization time was3days.There were no operative death and other complications. Conclusion The laparoscopic enterolysis has many advantages such as minimally invasive,quick-er recovery,fewer postoperative complications and a short hospitalization time,ect.It offers a therapeutic selection for adhesive intestinal obstruction.It's operation indication is simple incomplete adhesive intestinal obstruction and relapsing of symptoms[