Fischer C P, Doherty Deb
Department of Surgery, University of Texas-Houston, Houston, TX 77005, USA.
Semin Laparosc Surg. 2002 Mar;9(1):40-5.
Historically, laparotomy and open adhesiolysis have been the treatment of choice for patients requiring surgery with small bowel obstruction (SBO), although laparotomy itself is an independent risk factor for bowel obstruction. Laparoscopy is known to create fewer intra-abdominal adhesions than open laparotomy. The observation that many patients with SBO have isolated adhesive bands has led to the use of laparoscopy as primary treatment of SBO by some authors. Although the laparoscopic approach to SBO has been described, the outcomes and indications are not well established. We will review the available literature regarding the laparoscopic approach to SBO. Additionally, we will describe the technique and make recommendations regarding which patients may be best suited for a trial of laparoscopy for adhesiolysis.
从历史上看，剖腹手术和开放性粘连松解术一直是需要进行小肠梗阻（SBO）手术的患者的首选治疗方法，尽管剖腹手术本身就是肠梗阻的一个独立危险因素。众所周知，腹腔镜手术比开放性剖腹手术产生的腹腔内粘连更少。许多SBO患者存在孤立性粘连带这一观察结果，促使一些作者将腹腔镜手术用作SBO的主要治疗方法。虽然已经描述了腹腔镜治疗SBO的方法，但其疗效和适应症尚未明确。我们将回顾有关腹腔镜治疗SBO方法的现有文献。此外，我们将描述该技术，并就哪些患者可能最适合进行腹腔镜粘连松解术试验提出建议。
