Laparoscopic Treatment of Intestinal Obstruction

Autor: Sei Hyeog Park, Jong-Min Park, Eun Young Kim, Jae Hun Hur, Byeonghun Oh, Eun Jung Ahn
Rok vydání: 2016
Předmět:
Zdroj: JOURNAL OF ACUTE CARE SURGERY. 6:23-28
ISSN: 2288-9582
2288-5862
DOI: 10.17479/jacs.2016.6.1.23
Popis: J Acute Care Surg Vol. 6 No. 1, April 2016 23 Correspondence to: Jong-Min Park, M.D. Department of Surgery, National Medical Center, 245 Eulji-ro, Jung-gu, Seoul 04564, Korea Tel: +82-2-2260-4883 Fax: +82-2-2269-7142 E-mail: jmparkgs@gmail.com Purpose: Open adhesiolysis has been the favored approach regarding surgical management of intestinal obstruction. Following the development of laparoscopic devices and necessary surgical techniques, laparoscopic treatment of intestinal obstruction and adhesion has been tried in highly selected cases. Our study was designed to investigate laparoscopic adhesiolysis to treat intestinal obstruction. Methods: The clinicopathologic data and surgical outcomes of 14 patients who underwent emergency laparoscopy between January 2007 and April 2015 were retrospectively reviewed. Results: Five patients had a history of abdominal surgery, and twelve patients had adhesive intestinal obstruction. The causes of adhesive intestinal obstruction included tuberculous peritonitis, periappendiceal abscess, serosal fibrosis and chronic inflammation of intestine, gastric volvulus by fibrotic band. Two patients had non-adhesive intestinal obstruction, caused by intussusception and small bowel ulcer with stricture. The mean surgical time was 98.5 minutes, with mean blood loss of 35 ml. One case was converted to open surgery (7.1%). The mean postoperative hospital stay was 6.5 days. The mean time to oral intake was 3.4 days. There were no postoperative complications or deaths. Conclusion: When the patients are selected carefully in accordance with the guidelines, in our experience laparoscopic adhesiolysis is safe and feasible. (J Acute Care Surg 2016;6:23-28)
Databáze: OpenAIRE
Externí odkaz: