Laparoscopic versus open surgery in small bowel obstruction

Cirocchi, Roberto; Abraha, Iosief; Farinella, Eriberto; Montedori, Alessandro; Sciannameo, Francesco

doi:10.1002/14651858.cd007511.pub2

Cited by 58 publications

(54 citation statements)

References 13 publications

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“…Duron et al [241] suggested that the rate of primary or secondary recurrence (12 and 18 %, respectively) was not different after open compared to laparoscopic surgery (LE 2b). Neither RCTs nor prospective controlled studies on the laparoscopic approach to SBOs are available in the literature [242].…”

Section: Small Bowel Obstruction Due To Adhesionsmentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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Section: Small Bowel Obstruction Due To Adhesionsmentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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“…7,8 Strangulated obstructions are surgical emergencies, and if not treated quickly lead to bowel ischemia and further morbidity and mortality. 8-10 Surgery for complete obstructions without known strangulation is controversial, but if medical therapy fails surgery is absolutely necessary. 7 Though management principles have not changed dramatically over the past decade, the population of patients continues to evolve, and thus the disease process must be reviewed to understand whether elderly patients have similar presentations, management, and outcomes as younger adults.…”

Section: Introductionmentioning

confidence: 99%

Geriatric small bowel obstruction: an analysis of treatment and outcomes compared with a younger cohort

Krause

Webb

2015

The American Journal of Surgery

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Background Small bowel obstruction (SBO) is a common condition, but little is known about its presentation, management, and outcomes in geriatric patients. Methods A retrospective review was performed comparing geriatric (≥65 years of age) and non-geriatric patients admitted with SBO. Admission characteristics, treatment, and outcomes were compared. Data analysis included Student’s t test and chi-square test or Fisher exact test. Results Among 80 geriatric and 136 non-geriatric patients no difference was observed between admission characteristics, treatment, time to or type of surgery, length of post-op stay, or overall complications. Cardiac complications (15% vs 0%, p=0.0082) and sub-acute care facility discharge (29% vs 5%, p<0.001) were more common for geriatric patients. Conclusions Compared to younger adults, elderly patients with SBO have similar presentations and overall outcomes with the exception of cardiac morbidity and discharge disposition. Pre-operative attention to cardiac risk profile and discharge disposition discussion should be encouraged. Summary This study analyzes geriatric patients presenting with small bowel obstruction when cared for by an Acute Care Surgery service. Compared to younger adults, the presentation, treatment response, and outcomes are similar with the exception of cardiac complications and discharge destination.

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“…Sin embargo, existe información limitada sobre la seguridad de la laparoscopía en OIB y sus resultados en términos de exactitud diagnóstica y tasas de conversión varían considerablemente entre las distintas series publicadas [7][8][9] .…”

Section: Introductionunclassified

Tratamiento Laparoscópico De La Obstrucción Intestinal Por Bridas

et al. 2014

Rev Chil Cir

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Laparoscopic treatment of adhesive small bowel obstruction Background: Treatment options for adhesive small bowel obstruction (ASBO) involve conservative and surgical management, traditionally through open adhesiolysis. Laparoscopic approach has been performed in recent years; however, limited data exist on its safety and results vary considerably. Our aim is to report our experience of laparoscopic treatment for ASBO. Methods: Retrospective study including patients admitted with the diagnosis of adhesive small bowel obstruction and that were submitted to laparoscopic exploration, between June 2003 and April 2013. We analyzed demographic, surgical variables and outcomes in terms of conversion rate, operative time, re-feeding time and length of stay. Non-parametric tests were used for statistical analysis. Results: Series of 38 patients submitted to laparoscopic exploration, mean age: 51 ± 16 years, 47% male. 53% had prior intra-abdominal surgeries. Laparoscopic resolution of bowel obstruction was possible in 31 patients (82%), with 7 conversions to open surgery. Median operative time was 60 (25-180) minutes, median re-feeding time was 24 (24-192) hours and median length of stay was 4 (2-52) days. Two patients required re-intervention during their hospital stay, one due to persistent bowel obstruction and one due to ischemic colitis. There were no other complications or mortality. Conclusions: Laparoscopy in adhesive small bowel obstruction was a feasible approach in this series, with good results when laparoscopic resolution is achieved. Patients with no prior surgeries seem to be good candidates for this approach.

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Laparoscopic versus open surgery in small bowel obstruction

Cited by 58 publications

References 13 publications

Geriatric small bowel obstruction: an analysis of treatment and outcomes compared with a younger cohort

Tratamiento Laparoscópico De La Obstrucción Intestinal Por Bridas

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