NGHIÊN CỨU MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KHẢ PHẪU THUẬT NỘI SOI ĐIỀU TRỊ TẮC RUỘT NON

Abstract

Objectives: To evaluate some factors related to the possibility of laparoscopic surgery to treat small bowel obstruction. Patients and methods: a cross-sectional, retrospective study on 255 patients with small bowel obstruction treated by surgery. Results: There were 255 patients, laparoscopic surgery (42.7%), assisted laparoscopic surgery (29.4%), open surgery (27.9%). Laparoscopic surgery for small bowel obstruction is related to history, etiology, and complications. Specifically: patients who have had abdominal surgery many times (from 2 times or more) have a lower probability of laparoscopic surgery than those who have not had abdominal surgery or have had surgery once (p<0.05). Causes of small bowel obstruction, complications of small bowel obstruction such as peritonitis and intestinal necrosis are prognostic factors for the possibility of switching to open surgery to resolve the cause. Time of disease presentation, degree of abdominal distention, abdominal fluid, dilated bowel loops did not affect the ability of laparoscopic surgery to treat small bowel obstruction. Conclusion: Factors such as history of multiple abdominal surgeries, causes of small bowel obstruction, complications of small bowel obstruction reduce the possibility of laparoscopic surgery to treat small bowel obstruction. But factors such as time of disease manifestation, degree of abdominal distension, dilated bowel loops, and peritoneal fluid have little influence on the possibility of laparoscopic surgery.