腹腔镜胆囊切除术后早期肠梗阻的治疗

Treatment of early postoperative small bowel obstruction following laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术后早期肠梗阻的特点及治疗原则。方法回顾性分析我院1996年～2005年收治的腹腔镜胆囊切除术后早期肠梗阻5例的临床资料。结果本组5例经胃肠减压、抗感染、应用生长抑素等治疗后均治愈。平均治疗时间6．6d。无肠坏死发生。结论腹腔镜胆囊切除术后早期肠梗阻临床少见，除外胆漏、套管孔疝等情况，保守治疗效果明显，可避免再次手术。

Objective To investigate the clinical characteristics and treatment principles of early postoperative inflammatory small bowel obstruction（EPISBO）following laparoscopic cholecystectomy （LC）. Methods Clinical data of 5 cases of EPISBO following LC from 1996 to 2005 were retrospectively analyzed. Results Five cases were all cured after treatments including gastrointestinal decompression,administration of antibiotics and somatostatin, etc. The mean treating time was 6. 6 days and none had intestinal necrosis. Conclusion EPISBO following LC is rare in clinical practice. Conservative treatments are effective and can avoid reoperation unless bile leakage and herniation after using trocar.