Laparoscopic Enterolysis for Small Bowel Obstruction

腹腔鏡處理術後腸粘黏

蔣鋒帆(Feng-Fan Chiang) ； 王輝明(Hwei-Ming Wang) ； 陳周斌(Joe-Bin Chen) ； 陳周誠(Johnson C. C. Chen)

《中華民國大腸直腸外科醫學會雜誌》 14卷4期 (2003/12) Pp. 104-108

https://doi.org/10.6312/SCRSTW.2003.14(4).09206

摘要

小腸手術最常見的就是小腸阻塞，而其中最常見是術後粘黏造成。以往的觀念認為小腸阻塞是腹腔鏡手術的禁忌症。但是近來由於手術器械與手術醫師經驗的累積，狀況似乎有了改變。我們提出一個病例使用腹腔鏡手術處理腸粘黏並整理近來有關文獻的新觀念與技巧。

關鍵字

腹腔鏡 ； 腸阻塞

並列摘要

Small bowel obstruction is the most common surgical disorder of the small intestine. Acquired adhesions was the leading etiology of small bowel obstruction. Previous abdominal surgery and suspected intestinal adhesion along with dilated bowel were taken as contraindications for laparoscopic surgery. However, improved surgical instrumentation and increased surgical experience have changed the scene. We report here in a case of laparoscopic enterolysis for small bowel obstruction and reviewed various laparoscopic techniques utilized in the management of small bowel obstruction.

並列關鍵字

Laparoscopic ； Small bowel obstruction