LAPAROSCOPIC ADHESIOLYSIS FOR POSTOPERATIVE ADHESIVE ILEUS

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  • 術後癒着性イレウスに対する腹腔鏡下癒着剥離術の経験

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Abstract

We conducted laparoscopic adhesiolysis in 20 cases: 6 gastrectomies, 3 large intestine resectios. 2 small intestine resections, 3 appendectomies, 3 gynecological surgeries, and 1 each cholecystectomy, laparoscopic herniorrhaphy, and ventriculoperitoneal shunt.<br>Laparoscopic adhesiolysis was successful in 19 cases. One mini-laparotomy was required in a case that had developed stenosis from firm adhesions of the small intestine, and which were resected after the minilapa-rotory. With laparoscopic surgery, it may be difficult to abrade intestinal adhesions. However, mini-laparotomy was used to deal with this situation. No complications resulting from the procedures were ob-served in any of the 20 cases. Laparoscopic adhesiolysis requires shorter postoperative hospitalization and produces fewer chances of postperative ileus.<br>Laparoscopic adhesiolysis for adhesive ileus and intestinal adhesion features less invasive surgery and in an effective treatment.

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