慢性腹痛患者腹腔镜粘连松解术的并发症及可行性：一项回顾性研究。
Complications and feasibility of laparoscopic adhesiolysis in patients with chronic abdominal pain. A retrospective study.
作者信息
Swank D J, van Erp W F M, Repelaer van Driel O J, Hop W C J, Bonjer H J, Jeekel J
机构信息
Department of Surgery, Groene Hart Hospital, Gouda, PO Box 1098, 2800 BB Gouda, The Netherlands.
出版信息
Surg Endosc. 2002 Oct;16(10):1468-73. doi: 10.1007/s00464-002-0008-z. Epub 2002 Jun 20.
BACKGROUND
A retrospective study was done to determine whether laparoscopic adhesiolysis benefits patients with chronic abdominal pain. Factors that influence complications and feasibility of laparoscopic adhesiolysis were evaluated.
METHODS
174 consecutive operations in 157 patients were retrospectively analyzed for factors which might influence the complication rate and the feasibility of laparoscopic adhesiolysis.
RESULTS
In 128 out of 174 procedures a complete adhesiolysis was performed. We had to accept an incomplete adhesiolysis in 39 other patients and in 7 patients a primary conversion was needed. We noticed 16 major complications. Two patients died. Relief of pain was recorded in 80% of patients after short follow-up. The number of previous abdominal operations and patient age significantly affected the outcome of surgery.
CONCLUSION
Laparoscopic adhesiolysis in patients with chronic abdominal pain seems to be a feasible and effective operation with considerable risk.
背景
进行一项回顾性研究以确定腹腔镜粘连松解术对慢性腹痛患者是否有益。评估了影响腹腔镜粘连松解术并发症和可行性的因素。
方法
回顾性分析157例患者的174例连续手术，以寻找可能影响腹腔镜粘连松解术并发症发生率和可行性的因素。
结果
174例手术中有128例进行了完全粘连松解。另外39例患者粘连松解不完全，7例患者需要一期中转开腹。我们注意到16例严重并发症。2例患者死亡。短期随访后80%的患者疼痛缓解。既往腹部手术次数和患者年龄显著影响手术结果。
结论
慢性腹痛患者的腹腔镜粘连松解术似乎是一种可行且有效的手术，但风险较大。
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