The first results of laparoscopic surgery for mechanical ileus were an
alysed according to 3 classification systems of adverse perioperative
events (complications). In our series 11 out of 14 patients were unsui
table for laparoscopic surgery mainly due to intraoperative mechanical
problems, In 3 patients relevant and potentially hazardous events occ
urred which induced immediate conversion to laparotomy, flue to the im
possibility and inability to completely explore the abdominal cavity,
the laparoscopic approach cannot yet be recommended.