腹腔镜粘连松解术治疗粘连性肠梗阻12例报告

Laparoscopic treatment for 12 cases of accretive intestinal obstruction

目的 探讨腹腔镜粘连松解术治疗粘连性肠梗阻的方法 ,提高粘连性肠梗阻的治疗效果。方法 利用腹腔镜粘连松解术治疗粘连性肠梗阻 12例 ,其中因束带粘连致小肠梗阻者 ,在腹腔镜下切除束带 ;小肠与腹壁粘连成角及小肠、网膜与腹壁粘连者 ,用电凝分离剪、分离钳或超声刀分离与腹壁的粘连。结果 全部病例均经腹腔镜行粘连松解术 ,无手术并发症发生。随防 1～ 36个月 ,均无梗阻症状复发。结论 利用腹腔镜粘连松解术有选择性地治疗粘连性肠梗阻是安全实用的 ,可以提高粘连性肠梗阻的治疗效果。

Objective To investigate the use of laparoscopy and to raise the effectiveness of the treatment for accretive intestinal obstruction. Methods Twelve cases of accretive intestinal obstruction received operations by laparoscope. Among them loincloth accretion was treated by loinclothtomy under laparoscope; a angle caused by accretion of small intestine and abdomen, or the accretion in small intestine, net film and abdomen, were treated by separation using electrocision and separating pincers or ultrasonic knife. Results All patients successfully received the accretion lysis by laparoscope.There was no complication after operation. No recurrence after 1 to 36 months follow up was found. Conclusion It is safe and practical when selectively using accretion lysis by laparoscope in treatment for accretive intestinal obstruction. This technique increases the effectiveness of the treatment.