| Objective:To investigate clinical efficacy of laparoscopic AIO to reduce the rate of re-obstruction.Methods:The 120
patients with AIO were randomly divided into two groups, 60 cases in each group. Patients in the open surgery group had implementation
of open surgery, while those in the laparoscopy group had laparoscopic adhesion lysis. We observed the postoperative recovery and complications,
and applied the Logistic regression to analyze the risk factors of obstruction-reoccurrence.Results:In the laparoscopic group,
the intraoperative blood loss had (73.48± 9.32) mL, less than in the open surgery group (207.45± 33.21) mL (P<0.05); The time for
surgery, postoperative pain, ambulation, bowel motility recovery anal exhaust recovery, removal of catheter and hospital stay were respectively
(69.15± 10.13) min, (14.67± 7.23) h, (27.14± 7.04) h, (3.11± 0.96) d, (3.24± 1.02) d, (3.37± 1.23) d, (7.95± 3.05) d, all
shorter than those in the open surgery group which were respectively (83.84± 9.24) min, (27.38± 8.02) h, (36.23± 5.87) h, (4.05± 1.35)
d, (4.35± 1.74) d, (5.02± 2.13) d, (10.35± 3.71) d (P<0.05). The incidence of complications and obstruction reoccurrence rate both were
10.00%in laparoscopic group, lower than in the open surgery group which had 33.33%and 40.00% respectively (P<0.05). Multivariate
logistic regression analysis showed that laparotomy and operative time≥ 60min were the independent risk factors for re-obstruction.Conclusion:Laparoscopic surgery for AIO was effective than open surgery, and had fewer complications and lower rate of re-obstruction. |
