POSTOPERATIVE ADHESIVE PERITONEAL DISEASE - LAPAROSCOPIC TREATMENT

被引:31
作者
FRANCOIS, Y
MOURET, P
TOMAOGLU, K
VIGNAL, J
机构
[1] Service de Chirurgie Générale et Digestive, Hôpital Claude Bernard, Centre Hospitalier Lyon-Sud, Ouillins Cedex, 69923
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1994年 / 8卷 / 07期
关键词
POSTOPERATIVE ADHESIONS; LAPAROSCOPIC TREATMENT;
D O I
10.1007/BF00593440
中图分类号
R61 [外科手术学];
学科分类号
摘要
The aim of this prospective study was to judge the efficiency of laparoscopic adhesiolysis: 52 patients have been treated laparoscopically either for obstruction (group 1: 17 patients) or for chronical abdominal pain (group 2: 35 patients). Two out of five peroperative complications required a laparoconversion whereas two postoperative complications required a laparotomy for intestinal obstruction. Six patients of group 1 developed a recurrence of obstruction treated by laparoscopy in four and by laparotomy in two cases. At the time of the study (among 50 patients with a mean follow-up of 24 months), 32 patients were asymptomatic, 13 found that their symptoms had lessened, and finally, five patients were not improved. We concluded that laparoscopic adhesiolysis is an attractive surgical procedure, allowing a clinical improvement in 45 out of 50 patients in our study.
引用
收藏
页码:781 / 783
页数:3
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