LAPAROSCOPIC CURE OF ACUTE BOWEL OCCLUSION - PRELIMINARY-RESULTS

Objective: The aim of this study was to determine the applicability and short-tem 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, I 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.