Stepanian S A
Klin Khir. 2011 Aug(8):32-5.
Six cases of an acute obturation small bowel ileus observation, caused by phytobezoars, are presented. In 5 patients adhesive process in abdominal cavity was revealed after previously performed open operations. In 2 patients ileus was successfully managed using laparoscopic method--there were performed adhesiolysis, phytobezoar fragmentation, using Babcock forceps, and its conduction up to ileocaecal valve. In 2 patients, due to significant adhesive process present, which have interfered with laparoscopic adhesiolysis performance, a conversion was accomplished, adhesiolysis performed, the phytobezoar fragmentation and its conduction into the large bowel done. In one patient enterotomy was conducted, from intestinal lumen an apple was removed. An early adhesive obturaton ileus of small bowel have occurred in one patient. All the patients are alive.
本文介绍了6例由植物粪石引起的急性闭袢性小肠肠梗阻的观察情况。5例患者此前接受过开放性手术，术后发现腹腔内有粘连情况。2例患者通过腹腔镜方法成功治疗肠梗阻——进行了粘连松解、使用巴布科克钳破碎植物粪石并将其推送至回盲瓣。2例患者由于存在严重粘连，影响了腹腔镜粘连松解操作，因此改为开腹手术，进行了粘连松解、破碎植物粪石并将其推送至大肠。1例患者进行了肠切开术，从肠腔内取出一个苹果。1例患者发生了早期粘连性小肠闭袢性肠梗阻。所有患者均存活。
