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首页> 外文期刊>Surgical Endoscopy >Laparoscopic approach to postoperative adhesive obstruction.
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Laparoscopic approach to postoperative adhesive obstruction.

机译：腹腔镜手术后粘连性阻塞。

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BACKGROUND: Some authors have assessed the feasibility of laparoscopy in the treatment of postoperative adhesive obstruction, but conclusions about its effectiveness are related to different selection criteria used for surgery. This paper reports on our experience in laparoscopic adhesiolysis and analyses the results on the basis of the selection criteria used. METHODS: From January 1993 to December 2001, 65 patients were submitted to laparoscopic adhesiolysis for small bowel obstruction according to specific selection criteria. Of the 65 patients, 40 were admitted for acute obstruction and 25 for chronic or recurrent transit disturbances. Correlation between historical and clinical data and the results of surgical treatment were statistically analyzed. RESULTS: The procedure was completed by laparoscopy in 52 patients (conversion rate: 20%). Mean postoperative stay was 4.4 days with a 12.3% morbidity and no mortality. Recurrence rate was 15.4%; a single correlation was found between recurrence and age. CONCLUSIONS: Laparoscopic adhesiolysis in the treatment of small bowel obstructions seems to be effective; further studies are required to define selection criteria for surgery and confirm real advantages in terms of recurrences.
机译：背景：一些作者评估了腹腔镜在治疗术后粘连性阻塞中的可行性，但有关其有效性的结论与手术中使用的不同选择标准有关。本文介绍了我们在腹腔镜黏附溶解方面的经验，并根据所用的选择标准对结果进行了分析。方法：从1993年1月至2001年12月，根据特定的选择标准，对65例小肠梗阻患者进行了腹腔镜粘连术。在这65例患者中，有40例因急性梗阻而入院，而25例因慢性或反复发作​​的运输障碍而入院。历史和临床数据与手术治疗结果之间的相关性进行了统计分析。结果：通过腹腔镜检查完成了52例患者的手术（转换率：20％）。术后平均住院时间为4.4天，发病率为12.3％，无死亡。复发率为15.4％;复发与年龄之间存在单一相关性。结论：腹腔镜黏附溶解治疗小肠梗阻似乎是有效的。需要进一步的研究来确定手术的选择标准，并在复发方面确认真正的优势。

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