Volume 29, Issue 5, 2020
DOI: 10.24205/03276716.2020.1051
Laparoscope combined with ilues tube treat acute adhesive intestinal ileus
Abstract
Here, we explore the feasibility, safety and treatment experience of laparoscopic combined with ilues tube treatment of ASBO. From January 2014 to December 2018, 23 patients with a diagnosis of ASBO and received laparoscopy combined with ilues tube treatment. A total of 23 patients were enrolled in the study and treated as follows: All patients were treated with ileus tube before surgery. Patients with unrelieved ileus after conservative treatment undergo surgery. 16 patients underwent laparoscopic enterolysis. 5 patients underwent laparoscopy-assisted partial small bowel resection for various reasons, and 2 cases were converted to open surgery because of the severe adhesions on the intestinal wall. The average postoperative anal exhaust time was 3.09±1.41 days and the time to start food uptake was 4.48±1.95 days. The postoperative visual analog score for pain showed 21 cases of Grade 1-3 and only 2 cases above grade 4. None of the patients experienced surgical complications. The symptoms of the patients before surgery disappeared without recurrence in all cases except for one patient who still had symptoms 6 months post-surgery. All patients were followed up for 1 year after the operation. The laparoscopy surgery combined with ilues tube treatment of adhesive intestinal obstruction is feasible and highly beneficial
Keywords
laparoscopy; ilues tube; adhesive intestinal obstruction