Experience summary of laparoscopes adhesiolysis for adhesive intestinal obstruction: a case series of 30 patients
10.3760/cma.j.cn115455-20250227-00182
- VernacularTitle:腹腔镜粘连松解术治疗粘连性肠梗阻30例经验总结
- Author:
Yanyun HONG
1
;
Yang DONG
1
;
Hailong JIN
1
;
Kankai ZHU
1
;
Xiaodong WANG
1
;
Yang LI
1
;
Jiren YU
1
;
Xiaosun LIU
1
Author Information
1. 浙江大学医学院附属第一医院胃肠外科，杭州 310008
- Publication Type:Journal Article
- Keywords:
Intestinal obstruction;
Laparoscopes;
Treatment outcome;
Retrospective studies
- From:
Chinese Journal of Postgraduates of Medicine
2025;48(9):788-791
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the safety and efficacy of laparoscopes adhesiolysis in the treatment of adhesive intestinal obstruction.Methods:A retrospective analysis was conducted on the clinical data of 30 patients with adhesive intestinal obstruction who underwent laparoscopes adhesiolysis at the First Affiliated Hospital, Zhejiang University School of Medicine between January 2021 and December 2024. The demographics, surgical parameters and postoperative complications were recorded.Results:Among the 30 patients, 16 were male and 14 were female, with age of (55.93 ± 13.83) years. A history of abdominal surgery was present in 25 patients (83.3%). Of the surgeries, 4 cases (13.3%) were performed as emergency procedures and 26 cases (86.7%) were elective. The operative time was (125.57 ± 48.25) min, and intraoperative blood loss was (26.17 ± 16.90) ml. The time to first flatus was (3.30 ± 1.95) d, the time to first oral intake was 4.00 (3.00, 5.00) d, the hospital stay was (24.23 ± 17.97) d, and the postoperative hospital stay was 11.50 (6.75, 18.75) d. The incision pain score 0 score was in 8 cases (26.7%), 1 score in 5 cases (16.7%), 2 scores in 10 cases (33.3%), 3 scores in 3 cases (10.0%), 4 scores in 3 cases (10.0%), and 5 scores in 1 case (3.3%). One case developed a postoperative wound infection. The patients were followed up for 1 year, 1 patient experienced recurrent incomplete intestinal obstruction due to widespread peritoneal metastasis from gastric cancer.Conclusions:Laparoscopes adhesiolysis is a safe and effective treatment for adhesive intestinal obstruction, offering advantages in terms of postoperative recovery and low complication rates. The continued use of minimally invasive techniques is recommended in the management of this condition.
