[1]王野＊刘志升 孙风波 刁其先 张新明 郝磊.腹腔镜在粪石性小肠梗阻中的应用[J].中国微创外科杂志,2014,14(12):1144-1146.
　Wang Ye,Liu Zhisheng,Sun Fengbo,et al.Clinical Application of Laparoscope in Small Bowel Obstruction Due to Stercolith[J].Chinese Journal of Minimally Invasive Surgery,2014,14(12):1144-1146.
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腹腔镜在粪石性小肠梗阻中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年12期
页码:
1144-1146
栏目:
短篇论著
出版日期:
2014-12-20

文章信息/Info

Title:
Clinical Application of Laparoscope in Small Bowel Obstruction Due to Stercolith
作者:
王野＊刘志升 孙风波 刁其先 张新明 郝磊
青岛市海慈医院普通外科，青岛266033
Author(s):
Wang Ye;  Liu Zhisheng;  Sun Fengbo;  et al．
Department of General Surgery, Haici Hospital of Qingdao, Qingdao 266033, China
关键词:
小肠梗阻; 粪石; 腹腔镜
Keywords:
Small bowl obstruction; Stercolith; Laparoscope
分类号:
R656.7
文献标志码:
A
摘要:
目的探讨腹腔镜手术治疗粪石性小肠梗阻的临床价值。方法2011年5月～2013年11月对17例粪石性小肠梗阻在腹腔镜下找到梗阻部位，明确粪石性肠梗阻诊断后，以无损伤肠钳将粪石轻柔捏挤，然后将碎块连同肠内容物推挤过回盲瓣，检查梗阻近端肠管无粪石后结束手术。结果16例腹腔镜手术获成功，1例因粪石大且坚硬，嵌顿在肠管无法推动，反复在同一部位挤压粪石导致水肿肠管浆膜破裂，中转开放手术。腹腔镜手术时间12～29 min，平均21 min。16例术后住院2～6 d，平均4.2 d。术后随访3～6个月，腹腔镜手术成功患者无腹腔脓肿、肠漏、粘连性肠梗阻、切口感染等并发症，腹部瘢痕不明显。结论腹腔镜诊治粪石性小肠梗阻安全、简单、有效。
Abstract:
ObjectiveTo evaluate the clinical application of laparoscopy in small bowel obstruction due to stercolith.MethodsClinical data of 17 cases of small bowel obstruction due to stercolith, who received laparoscopic operation in our hospital from May 2011 to November 2013, were analyzed retrospectively. After the obstruction site was oriented and the diagnosis was clarified under laparoscope, the stercolith was softly broken by using forceps with nontraumatic teeth, and then was pushed through the ileocecal valve. ResultsThe procedures were completed smoothly in 16 patients, and a conversion to open surgery was required in 1 patient due to repeated pushing of a large and hard stercolith leading to rupture of the intestinal serosa. In the 16 cases, the mean operation time was 21 min (range, 12-29 min) and the mean length of postoperative hospital stay was 4.2 days (range, 2-6 d). Followup was achieved in 16 cares for 3-6 months, during which no postoperative celiac abscess, intestinal leakage, adhesive intestinal obstruction, or incision infection occurred. No obvious abdominal scar formation developed. ConclusionLaparoscopic surgery for small bowel obstruction due to stercolith is a safe, simple, and effective procedure.

参考文献/References:

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备注/Memo

备注/Memo:
＊通讯作者，Email：qdwangye@163.com
更新日期/Last Update: 2014-12-20