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腹腔镜治疗伴有肠缺血的小肠梗阻

Laparoscopic management of small bowel obstruction with associated intestinal ischemia.

作者信息

Narh-Martey P, Bello A, Orr D, Galdyn I

机构信息

Northside Medical Center, Ohio, USA.

出版信息

J Surg Case Rep. 2012 Aug 1;2012(8):4. doi: 10.1093/jscr/2012.8.4.

DOI:10.1093/jscr/2012.8.4
PMID:24960762
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3649586/
Abstract

Obstruction is the most common surgical disorder of the small bowel. Complete small bowel obstruction (SBO) is usually treated surgically because bowel strangulation cannot be excluded with certainty. Acute SBO has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate. We present a case of SBO for which laparoscopic management resulted in earlier return of bowel function, shorter hospital stay, faster overall recovery, and decreased morbidity when compared to laparotomy.

摘要

肠梗阻是小肠最常见的外科疾病。完全性小肠梗阻（SBO）通常采用手术治疗，因为无法确定排除肠绞窄的情况。急性SBO以前被认为是腹腔镜治疗的相对禁忌证，尤其是考虑到剖腹手术的转换率。我们报告一例SBO病例，与剖腹手术相比，腹腔镜治疗使肠功能恢复更早、住院时间更短、总体恢复更快且发病率降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/8213d1234ff4/jscr-2012-8-4fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/b1b11848e6ee/jscr-2012-8-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/b3d6e8269243/jscr-2012-8-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/c88fe6f80a00/jscr-2012-8-4fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/2841538e7054/jscr-2012-8-4fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/a70316ca9bdc/jscr-2012-8-4fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/8213d1234ff4/jscr-2012-8-4fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/b1b11848e6ee/jscr-2012-8-4fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/b3d6e8269243/jscr-2012-8-4fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/c88fe6f80a00/jscr-2012-8-4fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/2841538e7054/jscr-2012-8-4fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/a70316ca9bdc/jscr-2012-8-4fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f994/3649586/8213d1234ff4/jscr-2012-8-4fig6.jpg

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