[Laparoscopic surgery in the treatment of 12 patients with radiogenic small bowel damage]
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Jian Wang1, You-Sheng Li, Dan-Hua Yao
1Research Institute of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China. liys@medmail.com.cn.
Objective:
To summarize the preliminary experience of laparoscopic surgery in the treatment of radiogenic small bowel damage.
Methods:
Clinical data of 12 patients with radiogenic small bowel damage undergoing laparoscopic operation in our department from January 2012 to January 2013 were retrospectively reviewed.
Results:
Two patients were transferred to laparotomy because of dense adhesion in the entire abdomen and uncertainty of metastatic malignancy, respectively. The laparoscopic surgery was successfully performed in other 10 patients. Three patients received enterostomy or colostomy because of intestinal obstruction or bleeding. Among the other seven patients who underwent intestinal resection and anastomosis, intestinal anastomosis was performed with an small adjunvant incision in the former two cases and performed under laparoscopy in the latter five cases. The post-operative complication included one anastomotic fistula.
Conclusion:
Laparoscopic surgery can be safely used in radiogenic small bowel damage patients, which can avoid the delayed incision healing.
