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首页> 外文期刊>Surgical Endoscopy >Laparoscopic diagnosis and treatment of intestinal obstruction.
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Laparoscopic diagnosis and treatment of intestinal obstruction.

机译：腹腔镜诊断和治疗肠梗阻。

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Background: Intestinal obstruction is a common reason for general surgical referral. The traditional approach has been conservative management, followed by laparotomy if conservative measures are unsuccessful. However, with the advent of minimally invasive surgery, the need for laparotomy for this common problem is being challenged. Methods: From May 1991 to April 2001, 167 patients underwent laparoscopy for diagnosis and/or treatment of intestinal obstruction. Average patient age was 62 years (range, 21-98). The site of obstruction was the stomach in seven patients, small bowel in 116 patients, and colon in 44 patients. Results: Laparoscopy successfully diagnosed the site of obstruction in all patients. In addition, 154 patients (92.2%) were successfully treated laparoscopically without conversion to laparotomy. Both intraoperative and postoperative complication rates were low (3.5 and 18.6%, respectively) and compared favorably with those of published reports. Conclusions: Intestinal obstruction can be approached safely and effectively by laparoscopy with the intent not only to correctly diagnose the patient but also to render treatment.
机译：背景：肠梗阻是一般外科转诊的常见原因。传统方法是保守治疗，如果保守治疗不成功，则应进行剖腹手术。然而，随着微创外科手术的出现，针对该常见问题的剖腹手术的需求正在受到挑战。方法：1991年5月至2001年4月，对167例患者进行了腹腔镜检查以诊断和/或治疗肠梗阻。患者平均年龄为62岁（范围21-98）。阻塞部位是胃部7例，小肠116例，结肠44例。结果：腹腔镜检查成功诊断出所有患者的阻塞部位。此外，有154例患者（92.2％）成功地进行了腹腔镜治疗，而未转换为剖腹手术。术中和术后并发症发生率均较低（分别为3.5％和18.6％），与已发表的报告相比具有优势。结论：腹腔镜检查可以安全有效地处理肠梗阻，不仅可以正确诊断患者，而且可以提供治疗。

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