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[Celioscopy in the treatment of acute small bowel occlusions: preliminary results]
1Service de Chirurgie générale, digestive et vasculaire, Hôpital Ambroise Paré, Boulogne-Billancourt.
Objective:
The aim of this study was to determine the applicability and short-term results as well as the indications for laparoscopic surgery in acute occlusion of the small bowel.
Methods:
From May to September 1995, 9 consecutive patients (8 females, 1 male, mean age 54.4 years, range 27-82), hospitalized for acute occlusion of the small bowel were included in an evaluation of laparoscopic cure. Patients were divided into two groups according to the presence (n = 5) or absence (n = 4) of a past history of medial laparotomy.
Results:
Laparoscopic surgery was used in all patients with no complications. In the group with a past history of laparotomy, the procedures were more difficult and the duration of the procedure was longer (220 +/- 74 min versus 104 +/- 11) (p < 0.01). The advantages of laparoscopic surgery were decreased post-operative pain and shorter duration of ileus and hospitalization.
Conclusion:
Laparoscopic treatment of acute occlusion of the bowel is possible. The procedure should probably be reserved for patient without a past history of medial laparotomy. A long-term study is required to assess the risk of recurrence.
