粘连性小肠梗阻的腹腔镜治疗(文献复习)

Q4 Medicine
M. I. Shkerdina, S. Antonyan, Y. Zharikov
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引用次数: 0

摘要

粘连性小肠梗阻(ASBO)是当今一种以患者数量稳定增加、术后并发症水平显著、致残和死亡风险高为特点的疾病。本文的目的是研究和分析视频腹腔镜治疗ASBO患者的相关资料及可能的术后并发症。在该类型患者流量大的临床中心,并发症比例小,患者术后恢复迅速,促进了腹腔镜粘连松解术在实际医学中的积极应用。通过对国内外文献的分析表明,忠实地遵守该技术在解决肠梗阻和恢复胃肠道通道方面的适应症,可以达到更好的效果,避免医源性和感染性并发症。因此,只有在精心挑选的一组患者(ASBO的首次表现,肠壁无明显缺血性改变和(或)预测存在少量腹膜粘连)中,腹腔镜治疗可以而且应该是首选手术,在所有其他情况下,建议使用剖腹手术。目前,在外科实践中越来越多地认识和使用腹腔镜手术是一个明显的趋势。由于并发症发生率低,术后恢复快,在治疗ASBO患者方面经验丰富的临床中心,它正成为首选。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Aspect of laparoscopic treatment of patients with adhesive small bowel obstruction (review of literature)
Nowadays, adhesive small bowel obstruction (ASBO) is a disease characterized by the stable increase in the number of patients, a significant level of postoperative complications, and a high risk of disability and death. The objective of the article was the research and analysis of relevant data of video laparoscopic treatment of patients with ASBO and possible postoperative complications. A small percentage of complications in clinical centers with a large flow of patients of this profile and rapid postoperative recovery of patients promote the active introduction of laparoscopic adhesiolysis in practical medicine. The analysis of foreign and domestic literature showed that the faithful adherence of indications for application of the technique for resolving intestinal obstruction and restoring passage through the gastrointestinal tract allows to achieve better results and avoid iatrogenic and infectious complications. Thus, laparoscopic treatment can and should be the operation of choice only in a carefully selected group of patients (the first manifestation of ASBO, the absence of pronounced ischemic changes in the intestinal wall and (or) the predicted presence of a small number of peritoneal adhesions), in all other cases, the use of laparotomy is indicated. Currently, there is a clear trend towards an increasing recognition and use of laparoscopy in surgical practice. It is becoming the preferred choice in clinical centers with extensive experience in the treatment of patients with ASBO due to an insignificant percentage of complications and a rapid postoperative recovery.
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来源期刊
CiteScore
0.30
自引率
0.00%
发文量
40
审稿时长
8 weeks
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