Experience Of Laparoscopic Treatment Of Adhesive Intestinal Obstruction

Objective:To explore the feasibility,safety and treatment experience of laparoscopic treatment of adhesive intestinal obstruction.Methods:Fifteen cases of laparoscopic colonic obstruction were retrospectively reviewed in our hospital from January 2010 to December 2016.The 15 patients were unrandomized to emergency surgery(acute exacerbation of intestinal obstruction)and elective surgery(intestinal obstruction remission).The patients’ basic condition,postoperative inflammation index,anal exhaust time,postoperative hospital stay and complications were analyzed respectively,and summary the surgical experience.Results:Among the 15 patients,12 were male and female,and the average age was 51.87 ± 17.20 years.There were 13 patients with surgical history,6 patients with ASAl and 2 were anesthetized.The average time of bleeding was 22.33 ± 28.09ml,the mean anal exhaust time was 3.13± 1.55 days after operation,the average eating time was 5.00± 2.04 days after surgery,11 cases were incisional pain grade 1,pain 2 Grade 3 patients were divided into 2 cases,4 patients with pain 4 cases,Fifteen of the 15 patients underwent fever for more than 3 days,the average postoperative fever more than 3 days 2.07 ±1.53 days,the average postoperative 1 day CRP was 34.08 ± 33.63 mg/L,the average postoperative 3 days CRP 48.31 ± 38.25 mg/L,The average WBC was 8.34 ±3.14*109/L,the average postoperative WBC was 7.53 ± 4.13*109/L,the average postoperative hospital stay was 8.93 ± 5.85 days.Elective surgery in 8 patients,of which 3 cases of small intestine partial resection;emergency surgery in 7 cases of direct surgery,of which 2 cases of small intestine partial resection,1 case to open.Conclusion:Laparoscopic treatment of adhesive intestinal obstruction is more safe in the period of obstructive remission.Laparoscopic treatment of adhesive obstruction with acute obstruction should be carried out with caution.