van der Zee D C, Bax N M
Department of Pediatric Surgery, Wilhelmina Children's University Hospital, Post Office Box 85090, 3508AB Utrecht, The Netherlands.
Surg Endosc. 1999 Sep;13(9):925-7. doi: 10.1007/s004649901136.
With new advances in diagnostic and therapeutic tools, the early management of adhesive bowel obstruction has become feasible.
In a retrospective study, 20 children with adhesive bowel obstruction were investigated to assess the possible advantages of the laparoscopic approach.
Laparoscopy was performed in nine children. Six of them were managed laparoscopically. Recovery was uneventful. In two children, extensive adhesions warranted elective conversion. The single complication occurred in a child with obstruction of the colon due to perforation caused by a small instrument. Eleven children underwent primary laparotomy for adhesive obstruction. Five of them had a single band and might have benefited from a laparoscopic approach.
Laparoscopic management of adhesive bowel obstruction in children is feasible and safe in experienced hands. Early management saves the child a great deal of discomfort and allows a quick recovery with early discharge.
随着诊断和治疗工具的新进展，粘连性肠梗阻的早期处理已变得可行。
在一项回顾性研究中，对20例粘连性肠梗阻患儿进行调查，以评估腹腔镜手术方法的潜在优势。
9例患儿接受了腹腔镜检查。其中6例通过腹腔镜进行了处理，恢复顺利。2例患儿因广泛粘连而需择期转为开腹手术。1例患儿因小型器械穿孔导致结肠梗阻，出现了唯一的并发症。11例患儿因粘连性肠梗阻接受了初次开腹手术。其中5例有单一粘连带，可能会从腹腔镜手术方法中获益。
在经验丰富的医生手中，腹腔镜处理儿童粘连性肠梗阻是可行且安全的。早期处理可使患儿免受很多不适，并能实现快速康复及早日出院。
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