Application of Laparoscopy for Incomplete Intestinal Obstruction / 中国微创外科杂志

ABSTRACT

Objective To explore the feasibility and the clinical effect of laparoscopic treatment of incomplete small intestinal obstruction.Methods Eighty-five patients with intestinal obstruction from January 2011 to January 2016 were analyzed retrospectively.Five cases caused by adhesion band were released by laparoscopic cut of the adhesion band.Seventy-five cases were caused by adhesion between intestine, abdominal wall, and pelvic cavity were given laparoscopic adhesion and angle separation.Laparoscopic exploration found appendicitis in 3 cases and a laparoscopic appendectomy was carried out.Two cases were given laparoscopic removal of foreign body inside the intestine.For patients with obvious abdominal distention, an indwelling ileus tube was placed in the intestine before the operation.Results All the laparoscopic surgeries were successfully performed except 2 patients required an additional small incision to perform partial enterectomy and intestinal anastomosis due to intensive local adhesion.No complications happened.Postoperative follow-ups for 3-60 months (mean, 35 months) found no recurrence.ConclusionsLaparoscopic treatment of small intestinal obstruction is feasible and minimally invasive, having advantages of small incision, rapid recovery and short hospitalization.It avoids the trauma caused by open operation.