Reissman Petachia, Spira Ram M
Department of Surgery, Shaare-Zedek Medical Center, Jerusalem, Israel.
Semin Laparosc Surg. 2003 Dec;10(4):185-90. doi: 10.1177/107155170301000405.
Intestinal and abdominal adhesions may be responsible for a variety of clinical conditions, including chronic recurrent small-bowel obstruction, acute small-bowel obstruction, closed-loop bowel obstruction and, debatably, abdominal or pelvic pain. Experience in laparoscopic surgery has increased at a rapid pace, thus adhesions are no longer considered a contraindication to treatment of these conditions. In recent years, numerous publications have reported the feasibility, safety, and favorable outcome of laparoscopic intervention in various adhesion-related conditions. As adhesions are the most common cause of recurrent or acute bowel obstruction, this review will focus on the laparoscopic management of these conditions and outline the technical considerations, indications, contraindications, and results.
肠粘连和腹粘连可能导致多种临床病症，包括慢性复发性小肠梗阻、急性小肠梗阻、闭袢性肠梗阻，以及有争议的腹部或盆腔疼痛。腹腔镜手术的经验迅速增加，因此粘连不再被视为这些病症治疗的禁忌证。近年来，众多出版物报道了腹腔镜干预各种粘连相关病症的可行性、安全性和良好疗效。由于粘连是复发性或急性肠梗阻的最常见原因，本综述将聚焦于这些病症的腹腔镜治疗，并概述技术要点、适应证、禁忌证及治疗结果。
