| 篇名 |
Laparoscopic Treatment of Bezoar-induced Small Bowel Obstruction: Report of a Case |
| 作者 |
Heng-Fu Lin, Jiann-Ming Wu, Kuo-Hsin Chen, Li-Ming Tseng, Shih-Horng Huang |
| 卷期/出版年月 |
40卷3期 (2007/6) |
| 頁次 |
127-131 |
| 摘要 |
Treatment of bezoar-induced intestinal obstruction is usually performed by an open
approach, with either digital fragmentation or removal of the bezoar via enterotomy.
Laparoscopy is gaining increased acceptance for diagnosis and treatment of selected
cases of small bowel obstruction. We describe a 77-year-old male patient with small
bowel obstruction, and the cause of intestinal obstruction was proved by diagnostic
laparoscopy to be a bezoar, which was fragmented and milked into the colon
smoothly with laparoscopic instruments. The patient had an uneventful recovery
and was discharged from the hospital 4 days later after the procedure. A review of
the literature shows that laparoscopic management is an alternative to conventional
surgery, either by a totally laparoscopic approach or a laparoscopic-assisted
procedure. Minimally invasive surgery is not only an excellent diagnostic tool for
bezoar-induced small bowel obstruction, but also in some selected cases, a choice of
treatment. |
| 關鍵詞 |
laparoscopy, bezoar, small bowel obstruction |
| 分類 |
Case Report |
