Original

J Minim Invasive Surg 2005; 8(2): 47-52

Published online December 30, 2005

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

장폐쇄에서 복강경수술의 이용

이문수·김창남·강윤중·조병선·이민구·김희정·박주승·김진천1

을지의과대학교 의과대학 외과학교실, 1울산대학교 의과대학 외과학교실 서울아산병원 대장항문클리닉

Application of Laparoscopic Surgery for Intestinal Obstruction

Moon Soo Lee, M.D., Chang Nam Kim, M.D., Yoon Jung Kang, M.D., Bung Sun Cho, M.D., Min Ku Lee, M.D., Hee Jung Kim, M.D., Joo Seung Park, M.D., Jin Cheon Kim, M.D.1

Department of Surgery, Eulji University School of Medicine, Daejeon, 1Department of Surgery, University of Ulsan College of Medicine and Colorectal Clinic, Asan Medical Center, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic surgery for intestinal obstruction was considered a procedure which several years ago rarely would have been attempted. However, recently increased surgical experience and improved surgical instrumentation have facilitated this surgery. The aim of this study was to evaluate the usefulness of laparoscopic surgery for intestinal obstruction. Methods: From November 2001 to January 2005, 24 patients (10 males and 14 females) with intestinal obstruction were analyzed for a previous operative procedure, cause and location of ileus, operative procedure, postoperative clinical course, the level of satisfaction for surgery. The mean age of the patients was 50 years (range, 1∼84). Results: Among 24 patients, 15 patients had prior abdominal surgery and the ileus was caused by intestinal adhesion (8 patients), bezoar (2 patients), internal hernia (1 patient), intussusception (1 patient), pelvic inflammatory disease (1 patient), recurrence of gastric cancer (1 patient), and ileal stenosis after radiotherapy (1 patient). 9 patients had no prior abdominal surgery and the ileus was caused by rectal obstruction due to abladder tumor (2 patients), carcinomatosis peritonei by ileal cancer (1 patient) and sigmoid colon cancer (1 patient), ileal tuberculosis (2 patients), pelvic inflammatory disease (1 patient), intussusception (2 patients). 9 patients had undergone HALS (hand assisted laparosopic surgery). The average time to flatus and diet was 1.9 and 4 days, respectively. At the postoperative interviews, 86% of patients were satisfied with the results. Conclusion: Laparoscopic surgery for the ileus can reduce complications by laparotomy and its applications can be extended with the use of the HALS. Because the level of satisfaction is high, it seems to be a useful surgery for intestinal obstruction.

Keywords Intestinal obstruction, Laparoscopic surgery

Article

Original

J Minim Invasive Surg 2005; 8(2): 47-52

Published online December 30, 2005

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

장폐쇄에서 복강경수술의 이용

이문수·김창남·강윤중·조병선·이민구·김희정·박주승·김진천1

을지의과대학교 의과대학 외과학교실, 1울산대학교 의과대학 외과학교실 서울아산병원 대장항문클리닉

Application of Laparoscopic Surgery for Intestinal Obstruction

Moon Soo Lee, M.D., Chang Nam Kim, M.D., Yoon Jung Kang, M.D., Bung Sun Cho, M.D., Min Ku Lee, M.D., Hee Jung Kim, M.D., Joo Seung Park, M.D., Jin Cheon Kim, M.D.1

Department of Surgery, Eulji University School of Medicine, Daejeon, 1Department of Surgery, University of Ulsan College of Medicine and Colorectal Clinic, Asan Medical Center, Seoul, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Laparoscopic surgery for intestinal obstruction was considered a procedure which several years ago rarely would have been attempted. However, recently increased surgical experience and improved surgical instrumentation have facilitated this surgery. The aim of this study was to evaluate the usefulness of laparoscopic surgery for intestinal obstruction. Methods: From November 2001 to January 2005, 24 patients (10 males and 14 females) with intestinal obstruction were analyzed for a previous operative procedure, cause and location of ileus, operative procedure, postoperative clinical course, the level of satisfaction for surgery. The mean age of the patients was 50 years (range, 1∼84). Results: Among 24 patients, 15 patients had prior abdominal surgery and the ileus was caused by intestinal adhesion (8 patients), bezoar (2 patients), internal hernia (1 patient), intussusception (1 patient), pelvic inflammatory disease (1 patient), recurrence of gastric cancer (1 patient), and ileal stenosis after radiotherapy (1 patient). 9 patients had no prior abdominal surgery and the ileus was caused by rectal obstruction due to abladder tumor (2 patients), carcinomatosis peritonei by ileal cancer (1 patient) and sigmoid colon cancer (1 patient), ileal tuberculosis (2 patients), pelvic inflammatory disease (1 patient), intussusception (2 patients). 9 patients had undergone HALS (hand assisted laparosopic surgery). The average time to flatus and diet was 1.9 and 4 days, respectively. At the postoperative interviews, 86% of patients were satisfied with the results. Conclusion: Laparoscopic surgery for the ileus can reduce complications by laparotomy and its applications can be extended with the use of the HALS. Because the level of satisfaction is high, it seems to be a useful surgery for intestinal obstruction.

Keywords: Intestinal obstruction, Laparoscopic surgery

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