Nagle Alexander, Ujiki Michael, Denham Woody, Murayama Kenric
Department of Surgery, Northwestern University, Feinberg School of Medicine, 201 E. Huron St., Galter 10-105, Chicago, IL 60611, USA.
Am J Surg. 2004 Apr;187(4):464-70. doi: 10.1016/j.amjsurg.2003.12.036.
Historically, laparotomy and open adhesiolysis have been the treatment for patients requiring surgery for small bowel obstruction. Laparoscopic adhesiolysis has not gained wide acceptance. The indications and outcomes of laparoscopic adhesiolysis for small bowel obstruction are not well established. The purpose of this paper is to review the literature on laparoscopic adhesiolysis for small bowel obstruction and to discuss patient selection, surgical technique, and outcomes.
Medline search from 1980 to 2002.
Laparoscopic adhesiolysis has been shown to be safe and feasible in experienced hands. For selected patients, laparoscopic adhesiolysis offers the advantages of decreased length of stay, faster return to full activity, and decreased morbidity. Patient selection and surgical judgment appear to be the most important factors for a successful outcome.
从历史上看，剖腹手术和开放性粘连松解术一直是需要手术治疗小肠梗阻患者的治疗方法。腹腔镜粘连松解术尚未得到广泛认可。腹腔镜粘连松解术治疗小肠梗阻的适应症和结果尚未明确。本文的目的是回顾关于腹腔镜粘连松解术治疗小肠梗阻的文献，并讨论患者选择、手术技术和结果。
1980年至2002年的医学文献数据库检索。
在经验丰富的医生手中，腹腔镜粘连松解术已被证明是安全可行的。对于选定的患者，腹腔镜粘连松解术具有住院时间缩短、更快恢复完全活动以及发病率降低的优点。患者选择和手术判断似乎是取得成功结果的最重要因素。
