孙小林 宗大伟 许红兵 孙小林、宗大伟 解放军第531医院外一科 通化 134002; 许红兵 解放军第309医院肝胆外科 中华消化内镜杂志 1999 0 16 5


    关键词：腹腔镜术；肠梗阻；粘连 期刊 zhxhnjzz 0 论 著 fur -->


    

摘要 目的 探讨腹腔镜技术在急性肠梗阻治疗中的应用价值。方法 采用电视腹腔镜设备与器械为 32例急性肠梗阻患者实施了腹腔镜手术治疗。结果 腹腔镜手术 30例(腹腔镜肠粘连松解术 22例，腹腔镜小肠扭转复位术6例，腹腔镜辅助乙状结肠切除术2例)，术中肠管损伤2例，均于腹腔镜下修补成功。因粘连严重与腹膜后脂肪肉瘤中转开腹手术2例。术后均恢复顺利，无手术并发症。腹腔恶性肿瘤漏诊2例，经再次开腹手术切除。结论 腹腔镜急性肠梗阻手术具有微创外科的优点，可以部分代替开腹手术治疗机械性肠梗阻，但对腹膜间位或后位脏器病变的观察与严重粘连病例的治疗有一定的局限性。

    

Laparoscopy for acute intestinal obstruction

SUN Xiaolin^* , ZONG Dawei, XU Hongbing.

    ^* The First Department of Surgery, 531st Hospital of PLA, Tonghua 134002

Abstract Objective The feasibility of laparoscopy to treat acute obstruction of intestine was attempted. Methods 32 patients with acute intestinal obstruction underwent the treatment with current laparoscopic devices and techniques. Results With laparoscopy operation was successful in 30 cases ( adhesion dialysis, n=22; reduction of volvulus, n=6; assisting in sigmoidectomy , n=2). Conversion to open surgery occurred in 2 for serious adhesions and retroperitoneal liposarcoma. Injury of small intestine encountered in 2 occasions . Endoscopic repair was enough for uneventful recovery . Two malignancies being missed under the scope were excised by secondary surgery. Conclusion Laparoscopy could be considered as an alternative with minimal invasiveness for acute intestinal obstruction in selected cases.

    Key words Laparoscopy Intestinal obstruction Adhesion

自1996年10月至1998年4月 ......