Role of Laparoscopy in the Surgical Management of Acute Small Bowel Obstruction: Fact or Fiction?

Harvitkar, Rafique Umer; Kumar, Peri Harish; Joshi, Abhijit

doi:10.7759/cureus.18828

Cited by 5 publications

(7 citation statements)

References 17 publications

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“…Previous studies have shown that the laparoscopic technique accelerates the postoperative recovery process. [ 19 ] In our study, the selection of laparoscopic surgery shortened the hospital stay by approximately 5 days. Some previous studies have reported that laparoscopy shortened hospital stay by 1 day [ 15 ] and some others by 3 to 4 days.…”

Section: Discussionmentioning

confidence: 72%

Is laparoscopic surgery safe and feasible in acute adhesive ileus?

Gojayev,

Erkent,

Aydin

et al. 2023

Medicine

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Although the classical surgical treatment of adhesive ileus is performed using the open method, laparoscopic surgery has recently been performed in some centers. This study aimed to discuss the feasibility and role of laparoscopic surgery in the treatment of adhesive small bowel obstruction. In this retrospective study, the data of 830 patients who were operated for ileus in Başkent University Faculty of Medicine, Ankara Hospital, Department of General Surgery between January 2011 and September 2022 were analyzed. Missing data and intraabdominal cancer-related ileus were accepted as exclusion criteria and 648 patients were excluded from the study. The development of adhesion-related ileus and completeness of the data were accepted as inclusion criteria. Data were compared between the 2 groups [open group (OG; 152 cases) and laparoscopic group (LG; 30 cases]). When the patient characteristics were evaluated, it was found that the history of previous abdominal surgery (P < .001) and the number of previous abdominal surgery (P < .001) were statistically significantly higher in OG. Operation time was significantly longer in the LG (P = .022). There were no statistically significant differences between the groups in terms of intraoperative bowel injury (P = .216), bowel resection (P = .284), and stoma creation (P = .331). OG had a significantly higher rate of Clavien-Dindo grade ≥ 3 serious complications (P < .001) and mortality rate (P = .045). The first gas out occurred significantly earlier in the LG (P = .014). Oral intake was initiated earlier in the LG (P = .004). The length of hospital stay was significantly shorter in the LG (P < .001). There was no significant difference between the groups in terms of postoperative ileus, readmission, and reoperation. Laparoscopic surgery can be safely performed for the treatment of selected patients with adhesive small bowel obstruction. In addition, it is advantageous in terms of postoperative recovery.

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Section: Discussionmentioning

confidence: 72%

Is laparoscopic surgery safe and feasible in acute adhesive ileus?

Gojayev,

Erkent,

Aydin

et al. 2023

Medicine

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“…Although the laparoscopic method is becoming more and more well-liked as minimally invasive surgery, there is no consensus on the appropriate setting for laparoscopic therapy for small bowel obstruction. 21,22 In conclusion, however, intussusception is a rare cause of abdominal pain in adults, it is a diagnosis to consider in patients who have nonspecific abdominal pain because it can be a sign of cancer. In all situations where suspicion exists, emergency physicians should seek early surgical consultation.…”

Section: Discussionmentioning

confidence: 99%

“…Although the laparoscopic method is becoming more and more well‐liked as minimally invasive surgery, there is no consensus on the appropriate setting for laparoscopic therapy for small bowel obstruction. 21 , 22 …”

Section: Discussionmentioning

confidence: 99%

“…In addition to giving adequate exposure to surgeons finding any signs of malignancy on the whole level of the abdomen, laparotomy is the choice of surgery in acute intestinal obstruction. Although the laparoscopic method is becoming more and more well‐liked as minimally invasive surgery, there is no consensus on the appropriate setting for laparoscopic therapy for small bowel obstruction 21,22 …”

Section: Discussionmentioning

confidence: 99%

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Intussusception of the bowel in a young woman: A case report

Hejazi

Yousefi

Hemmati

et al. 2022

Clinical Case Reports

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Intussusception is a condition in which a segment of the gastrointestinal tract invaginates into the lumen of another segment. Adult intussusception is less common than juvenile intussusception in terms of cause, appearance, and treatment. Because the clinical picture can be quite atypical and difficult to interpret, it is frequently misdiagnosed at first. Herein, we report the case of a previously healthy 23‐year‐old female patient who presented to the Emergency Department (ED) with acute abdominal pain, vomiting, and diarrhea for 1 day following her last menstrual period. Ileocecal intussusception was discovered throughout the investigation. She was rushed for open abdominal surgery. Meckel's diverticulum was found as a pathologic lead point in the resected specimen, with no evidence of malignancy. Although intussusception is rare in adults, it should be considered in patients who have nonspecific stomach pain.

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“…Ngược lại, thời gian biểu hiện bệnh có sự khác biệt nhưng không có ý nghĩa thống kê. Nghiên cứu của Farinella và nghiên cứu của Harvitkar cho rằng, mổ bụng > 2 lần được xem là chống chỉ định tương đối với phẫu thuật nội soi do dính nhiều gây khó khăn khi đặt Trocar đầu tiên [6,7].…”

Section: Bàn Luậnunclassified

Nghiên Cứu Một Số Yếu Tố Liên Quan Đến Khả Phẫu Thuật Nội Soi Điều Trị Tắc Ruột Non

Nguyễn,

Phạm,

Hồ

2023

VMJ

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Mục tiêu: Đánh giá một số yếu tố liên quan đến khả năng phẫu thuật nội soi điều trị tắc ruột non. Đối tượng và phương pháp nghiên cứu: nghiên cứu cắt ngang, hồi cứu trên 255 bệnh nhân tắc ruột non được điều trị bằng phẫu thuật. Kết quả: Có 255 bệnh nhân, phẫu thuật nội soi hoàn toàn (42,7%), phẫu thuật nội soi hỗ trợ (29,4%), phẫu thuật mổ mở (27,9%). Phẫu thuật nội soi điều trị tắc ruột non có liên quan tới các yếu tố tiền sử, nguyên nhân và biến chứng. Cụ thể: các bệnh nhân phẫu thuật bụng nhiều lần (từ 2 lần trở lên) tiên lượng khả năng phẫu thuật nội soi thấp hơn so với các trường hợp chưa từ phẫu thuật bụng hoặc đã phẫu thuật 1 lần (p<0,05). Các nguyên nhân tắc ruột, biến chứng của tắc ruột như: viêm phúc mạc và hoại tử ruột là các yếu tố tiên lượng khả năng phải chuyển mổ mở để giải quyết nguyên nhân. Thời gian biểu hiện bệnh, mức độ bụng chướng, dịch ổ bụng, quai ruột giãn không ảnh hưởng đến khả năng phẫu thuật nội soi điều trị tắc ruột non. Kết luận: Những yếu tố như tiền sử mổ bụng nhiều lần, nguyên nhân tắc ruột non, biến chứng tắc ruột non làm giảm khả năng phẫu thuật nội soi điều trị tắc ruột non. Nhưng yếu tố như thời gian biểu hiện bệnh, mức độ bụng chướng, quai ruột giãn, dịch ổ bụng ít ảnh hưởng đến khả phẫu thuật nội soi.

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Role of Laparoscopy in the Surgical Management of Acute Small Bowel Obstruction: Fact or Fiction?

Cited by 5 publications

References 17 publications

Is laparoscopic surgery safe and feasible in acute adhesive ileus?

Is laparoscopic surgery safe and feasible in acute adhesive ileus?

Intussusception of the bowel in a young woman: A case report

Nghiên Cứu Một Số Yếu Tố Liên Quan Đến Khả Phẫu Thuật Nội Soi Điều Trị Tắc Ruột Non

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