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腹腔镜手术治疗肠梗阻技术难点及对策

杜燕夫 渠浩

中国实用外科杂志Issue(5):496-499,4.
中国实用外科杂志Issue(5):496-499,4.DOI:10.7504/CJPS.ISSN1005-2208.2015.05.11

腹腔镜手术治疗肠梗阻技术难点及对策

Application strategies and technical difficulties of laparoscopic surgery in patients with intestinal obstruction

杜燕夫 1渠浩1

作者信息

  • 1. 首都医科大学附属北京朝阳医院普通外科,北京100020
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摘要

Abstract

Laparoscopic operation in intestinal obstruction has not been used widely. The basic reason lies in its big difficulty and high risk. The previous operation history or the history of peritonitis could lead to extensive intra-abdominal dense adhesions. Diffused abdominal distension and bowel dilatation will make the space of intra-abdominal operation smaller. The using of the appliance and the exploration of lesions are restricted. The weak and brittle intestine wall is easy to be damaged. At the same time the doctor’s technology ability,the equipment and other conditions are also the factors that restricting the further development of the operation. A large number of literatures and clinical practices have proved that in the basis of selecting patients carefully and grasping the operation time strictly and operating carefully,the complications and the conversion rate were acceptable. Adopting varied operation strategies according to different causes of obstruction could realize the purpose of minimally invasive treatment.

关键词

腹腔镜/小肠梗阻/结肠梗阻

Key words

laparoscopy/small bowel obstruction/colon obstruction

分类

医药卫生

引用本文复制引用

杜燕夫,渠浩..腹腔镜手术治疗肠梗阻技术难点及对策[J].中国实用外科杂志,2015,(5):496-499,4.

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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