Laparoscopic Treatment of Intestinal Obstruction.
10.17479/jacs.2016.6.1.23
- Author:
Jae Hun HUR
1
;
Byeonghun OH
;
Eunyoung KIM
;
Eun Jung AHN
;
Sei Hyeog PARK
;
Jong Min PARK
Author Information
1. Department of Surgery, National Medical Center, Seoul, Korea. jmparkgs@gmail.com
- Publication Type:Original Article
- Keywords:
Intestinal obstruction;
Laparoscopy;
Adhesion
- MeSH:
Abscess;
Adhesives;
Constriction, Pathologic;
Emergencies;
Fibrosis;
Humans;
Inflammation;
Intestinal Obstruction*;
Intestines;
Intussusception;
Laparoscopy;
Length of Stay;
Operative Time;
Peritonitis, Tuberculous;
Postoperative Complications;
Retrospective Studies;
Stomach Volvulus;
Ulcer
- From:
Journal of Acute Care Surgery
2016;6(1):23-28
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Open adhesiolysis has been the favored approach regarding surgical management of intestinal obstruction. Following the development of laparoscopic devices and necessary surgical techniques, laparoscopic treatment of intestinal obstruction and adhesion has been tried in highly selected cases. Our study was designed to investigate laparoscopic adhesiolysis to treat intestinal obstruction. METHODS: The clinicopathologic data and surgical outcomes of 14 patients who underwent emergency laparoscopy between January 2007 and April 2015 were retrospectively reviewed. RESULTS: Five patients had a history of abdominal surgery, and twelve patients had adhesive intestinal obstruction. The causes of adhesive intestinal obstruction included tuberculous peritonitis, periappendiceal abscess, serosal fibrosis and chronic inflammation of intestine, gastric volvulus by fibrotic band. Two patients had non-adhesive intestinal obstruction, caused by intussusception and small bowel ulcer with stricture. The mean surgical time was 98.5 minutes, with mean blood loss of 35 ml. One case was converted to open surgery (7.1%). The mean postoperative hospital stay was 6.5 days. The mean time to oral intake was 3.4 days. There were no postoperative complications or deaths. CONCLUSION: When the patients are selected carefully in accordance with the guidelines, in our experience laparoscopic adhesiolysis is safe and feasible.
