腹腔镜在肠粘连松解术中的应用

Laparoscopic Treatment for Adhesive Intestinal Obstruction

目的：探讨腹腔镜在肠粘连松解术中的应用价值。方法：应用腹腔镜治疗肠粘连性肠梗阻患者11例。结果：7例成功利用腹腔镜完成肠粘连松解术，2例改为腹腔镜辅助下小切口肠粘连松解术，2例改为开腹手术。9例术中成功应用腹腔镜患者手术时间55～206min，平均123min，住院时间5～8d，平均7．1d。经过1～24个月随访（平均8个月），均无肠梗阻症状复发等并发症。结论：合理选择在肠粘连松解术中使用腹腔镜安全实用，具有临床应用价值。

Objective： To explore the clinical significance of laparopy In the operation ot aclneslve intestinal obstruction. Methods： Accretion lysis was applied by laparoscopic in 11 cases of adhesive intestinal obstruction. Results：Among them, 7 patients were treated by accretion-lysis under laparoscope,2 were conversion to open surgery with micro-incisional, Conversion to open surgery were 2 patients. The surgical time was from 55 minutes to 206 minutes with an average of 123 minutes. The hospitalization time was from 5 days to 8 days with an average of 7.1 days. The follow-up period was from 1 month to 2 years,with an average of 8 months. The hernia only recurred at one side in one case after one year. Other surgical complications were not found. Conclusion：It is safe and practical selective using accretion lysis by laparoscope in treatment for adhesive intestinsl obstruction.