腹腔镜在急性肠梗阻手术治疗中的应用

目的:评价腹腔镜在急性肠梗阻手术治疗中的价值。方法:对腹腔镜急性肠梗阻手术的适应证、禁忌证、手术方式、注意事项、手术并发症及优缺点等进行了总结与分析。结果:腹腔镜手术已成功地用于治疗由既往腹部手术后粘连、内疝(包括膈疝)、腹壁疝、肠扭转等所引起的急性肠梗阻。结论:腹腔镜急性肠梗阻手术仍是一种探索性的手术,可以代替开腹手术治疗选择性的急性肠梗阻。对于梗阻原因不明者,腹腔镜手术是一种即可以明确梗阻原因,又可以同时进行有效治疗的方法。

Laparoscopy for acute intestinal obstruction

Objective To evaluate the feasibility of laparoscopy to treat acute obstruction of intestine. Method The operative indication,contraindication,operative procedure,attentive items,operative complications,superior point and defect of laparoscopy for acute intestional obstruction were summed up and analysed. Results Acute obstruction of intestine,which caused by postoperative adhesion of intestine,internal hernia (including diaphragmatic hernia),abdominal hernia,volvulus and so on,was successfully treated by laparoscopy. Conclusion Operation for acute intestional obstruction by laparoscopy is still a explorative operation,and could be considered as an alternative with minimal invasiveness for acute intestinal obstruction in selected cases.