Clinical Analysis of Laparoscopic Adhesiolysis.
- Author:
Sung Kun KIM
1
;
Seung Chul PARK
;
Won Woo KIM
;
Sang Kuon LEE
;
Sung Won CHUN
;
Hae Myung JEON
;
Eung Kook KIM
Author Information
1. Department of Surgery, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Laparoscopic;
Adhesive ileus;
Adhesiolysis
- MeSH:
Adhesives;
Colon;
Diet;
Hand;
Intestinal Obstruction;
Intestine, Small;
Length of Stay;
Operative Time;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2001;60(2):168-171
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Laparoscopic management of intestinal obstruction is hypothetically attractive, However little is known about this procedure in our country. With new advances in diagnostic and therapeutic tools such as laparoscopic procedures, the management of intestinal obstruction has become feasible. METHODS: In order to analyze the clinical results of laparoscopic adhesiolysis, a retrospective review of a consecutive series of 20 cases of intestinal obstruction unresponsive to medical management was done between 1997 and 2000. RESULTS: The mean surgical time for the laparoscopic procedure was 75 min and two cases were converted to open surgery due to dense adhesion and intestinal strangulation. The characterization of adhesion type included 10 cases with simple fibrotic band, 4 cases with multiple fibrotic band and 5 cases with dense adhesion. Additionally, the most common site for adhesion was the small intestine and colon (12 cases). The mean diet start time was 2.3 days, mean hospital stay was 4.7 days and totally mean analgesic use was 1.6 times. CONCLUSION: Laparoscopic management of adhesive bowel obstruction is feasible and safe in experienced hands. The laparoscopic procedure also is an excellent diagnostic modality in case of obstruction, and the majority of these cases can be simultaneously managed laparoscopically. A laparoscopic approach is recommend as a first choice of treatment for selective cases of intestinal adhesion.
