TAILIEUCHUNG - Laparoscopic management of small bowel obstruction
Objectives: To evaluate safety, feasibility, and results of laparoscopic management of small bowel obstruction. Subjects and methods: A retrospective study on 124 acute small bowel obstruction cases, who were applied laparoscopy from 6 - 2010 to 8 - 2017. | Journal of military pharmaco-medicine no5-2018 LAPAROSCOPIC MANAGEMENT OF SMALL BOWEL OBSTRUCTION Nguyen Van Tiep*; Lai Ba Thanh*; Le Thanh Son* Dang Viet Dung*; Nguyen Trong Hoe*; Ho Chi Thanh* SUMMARY Objectives: To evaluate safety, feasibility, and results of laparoscopic management of small bowel obstruction. Subjects and methods: A retrospective study on 124 acute small bowel obstruction cases, who were applied laparoscopy from 6 - 2010 to 8 - 2017. Results: Laparoscopic management were indicated for postoperative obstruction (), phytobezoar () and unknown causes (), which determined causes of obstruction, suitable surgical method choice: totally laparoscopy (), laparoscopy-assisted small laparotomy (), large laparotomy (). Laparoscopy and assisted laparoscopy were safety, shortened recovery time of patients with oral meal time was days, postoperative hospital stay was days. Conclusion: Laparoscopic management of selected small bowel obstruction was safety, feasibility and shortened recovery time of patients. * Keywords: Small bowel obstruction; Laparoscopy management . INTRODUCTION Bowel obstruction is a common surgery emergency treatment. Small bowel obstruction (SBO) has a variety of causes such as adhesions, bands following abdominal surgery, phytobezoar or some other rare causes such as hernia, neoplasm, etc. Surgical management of SBO depends on the causes. Some cases are simple with cutting the bands only. While, some cases are complex if intestinal dissection needed. These operations were usually performed through the midline incision. Laparoscopic surgery has recently applied with many advantages in identifying causes and management of the acute SOB in selected patients [1, 3, 4, 6]. Abdominal distension and other complex causes are main disadvantages in selecting indication of laparoscopic management of small bowel obstruction [2, 5]. The effect of this procedure is controversial. In order to clarify clearly .
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