肠梗阻被认为是与以往手术有关的常见外科病理学。在需要外科处理时，许多不同的因素可以导致不同的结果。因此，我们的目标是描述与内科单中心经验中肠梗阻手术管理中的发病率和死亡率相关的因素。回顾性观察性研究，采用前瞻性数据库，描述了2004年至2015年间接受肠梗阻手术管理的患者。描述了人口统计学数据、围手术期数据、手术结果、发病率和死亡率。共纳入366例患者。女性占54.6%。平均年龄为61.26岁。21.8%的患者采用腹腔镜手术，转换率为17.2%。37.9%的病例进行了肠切除术。术后并发症发生率为18.85%。再次介入和死亡率分别为9.5%和4.1%。与开放性手术相比，腹腔镜手术显示出更短的肠道运行时间（平均28.67小时与平均41.95小时）和手术后恢复口服摄入的时间（平均96.06小时与平均119.65小时）。心率增加和重症监护病房停留时间与死亡率相关（p值分别为0.01和0.000）。对于发病率，剖腹术、重症监护病房停留的需求和持续时间与任何并发症均存在统计学意义（p值分别为0.02、0.008、0.000）。急诊室心率增加、静脉滴注液体减少、重症监护病房停留需求增加和时间延长以及手术后恢复口服摄入的延迟似乎与不良结果有关。腹腔镜手术似乎是选定患者肠梗阻的一种安全可行的方法。 © 2023. Springer Nature Limited.

Intestinal obstruction is considered a frequent surgical pathology related to previous surgical procedures. Many different factors can lead to different outcomes when surgical management is needed. Therefore, we aim to describe the factors related to morbidity and mortality in surgical management of IO in a single-center experience. Retrospective observational study with a prospective database, in which we described patients who underwent surgical management due to intestinal obstruction between 2004 and 2015. Demographics, perioperative data, surgical outcomes, morbidity, and mortality were described. 366 patients were included. Female were 54.6%. Mean age was 61.26. Laparoscopic approach was done in 21.8% and the conversion rate was 17.2%. Intestinal resection was performed in 37.9% of the cases. Postoperative complications were observed in 18.85%. Reintervention and mortality were 9.5% and 4.1% respectively. Laparoscopic approach shows lesser time of intestinal transit (mean 28.67 vs. mean 41.95 h), and restart of oral intake after surgery (mean 96.06 vs. mean 119.65) compared with open approach. Increased heart rate and intensive care unit length of stay were related with mortality (p 0.01 and 0.000 respectively). For morbidity, laparotomy and need and duration of ICU stay were related with any complication statistically significant (p 0.02, 0.008, 0.000 respectively). Patients with increased heart rate in the emergency room, decreased amount of intravenous fluids, need and higher length of stay in the intensive care unit, and delay in resuming oral intake after surgery appear to have poor outcomes. Laparoscopic approach seems to be a safe and feasible approach for intestinal obstruction in selected patients.© 2023. Springer Nature Limited.