Kyzer S, Aloni Y, Charuzi I
Surgery Unit B, Wolfson Medical Center, Holon.
Harefuah. 1999 May 2;136(9):681-3, 755.
We describe our experience in 14 patients operated on for small bowel obstruction, who underwent laparoscopic adhesiolysis. In 13 (93%) the obstruction was relieved and only 1 case required conversion to open operation. Bowel activity usually resumed within 24-48 hours, and there were no remarkable intraoperative and postoperative complications. During follow-up none developed recurrent obstruction. Our experience demonstrates that laparoscopic adhesiolysis is a valid therapeutic option. Additional experience is needed to determine which types of cases are suitable for the procedure.
我们描述了14例接受腹腔镜粘连松解术治疗小肠梗阻患者的经验。其中13例(93%)梗阻得到缓解,仅1例需要转为开放手术。肠道活动通常在24 - 48小时内恢复,术中及术后均无明显并发症。随访期间无复发性梗阻发生。我们的经验表明,腹腔镜粘连松解术是一种有效的治疗选择。需要更多经验来确定哪些类型的病例适合该手术。