Renault B, Elhage A, Querleu D
Clinique Universitaire de Gynécologie-Obstétrique, Roubaix.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(4):360-4.
Laparoscopic surgical procedures are increasing throughout the world, and with this increase in its utilization, a renewed interest in its possible complications. We presented four case reports of bowels injuries and their repair by laparoscopy. We reviewed the literature and discuss common complications with suggestions to avoid such injuries and for management. We conclude that small and large bowel enterostomies can be repaired safely via the laparoscope with minimum morbidity in patients with a prepared bowel. More serious complications occur if visceral trauma is not handled immediately. There is no place for adopting a "wait and see" approach.
腹腔镜外科手术在全球范围内日益增多,随着其应用的增加,人们对其可能出现的并发症重新产生了兴趣。我们报告了4例肠道损伤及其腹腔镜修复的病例。我们回顾了文献并讨论了常见并发症,提出了避免此类损伤及处理的建议。我们得出结论,对于肠道准备好的患者,小肠和大肠造口可以通过腹腔镜安全修复,并发症最少。如果内脏创伤未立即处理,会发生更严重的并发症。“观望”方法不可取。