腹腔镜手术治疗粘连性肠梗阻18例体会

目的：探讨腹腔镜在粘连性肠梗阻治疗中的应用价值。方法：回顾性分析18例腹腔镜治疗粘连性肠梗阻的临床资料。结果：18例中17例腹腔镜探查、粘连松解,手术均获成功,1例中转开腹,无1例并发症发生,住院时间与开腹手术相比,明显缩短（P〈0.01）,术后肠功能恢复时间明显缩短,术后疼痛轻微,无术后复发病例,全组痊愈出院。结论：腹腔镜治疗粘连性肠梗阻疗效满意,具有比传统开腹手术创伤小、痛苦轻、恢复快、住院时间、复发率低等优点。

Summary of Laparoscopic Operation in 18 Patients with Adhesive Obstruction

Objective：Discussing the value of laparoscopic treatment of adhesive intestinal obstruction.Method：Retrospective analysis of 18 cases of laparoscopic treatment of adhesive intestinal obstruction clinical data.Result：17 cases of laparoscopic exploration and adhesions release were successful in all 18 cases.Only 1 case is transited to laparotomy and no case had complications.Be compared to the laparotomy,the length of hospitalization time has significantly been reduced （P0.01）;the postoperative intestinal function has recovered with shorter time;and the postoperative pain is minor.There is no recurrence case and the whole group was all cured.Conclusion：The effect of laparoscopic treatment of adhesive intestinal obstruction is more satisfactory than traditional open surgery for less trauma and pain,quick recovery,less hospitalization time,and low recurrence rate.