Usefulness of laparoscopic surgery and preoperative examinations for chronic recurrent small bowel obstruction

Yahagi, Masashi; Ishii, Yoshiyuki; Ochiai, Hiroki; Sako, H.; Maeda, Hinako; Takemura, Yusuke; Oka, Taishu; Soutome, Keiichi; Kamiya, Nobuo; Watanabe, Masahiko

doi:10.1007/s00595-020-02197-y

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Intestinal obstruction is one of the commonest abdominal emergencies and has a complex pathogenesis and varying prognosis; mortality could be the most critical consequence. Commonly, ASBOproduced by Post-operative adhesions, and ASBOs are accountable for 60% to 75% of small intestine obstruction [12] .…”

Section: Discussionmentioning

confidence: 99%

Clinical Factors Associated with Intestinal Strangulating Obstruction and Recurrence in Adhesive Small Bowel Obstruction

Shalamesh

Mohamed²

2021

The Medical Journal of Cairo University

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Section: Discussionmentioning

confidence: 99%

Clinical Factors Associated with Intestinal Strangulating Obstruction and Recurrence in Adhesive Small Bowel Obstruction

Shalamesh

Mohamed²

2021

The Medical Journal of Cairo University

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Feasibility of Laparoscopic Surgery in Patients with Postoperative Adhesive Small Bowel Obstruction

Ochiai,

Ishii,

Sako

et al. 2023

Preprint

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Purpose Laparoscopic surgery for abdominopelvic disease is minimally invasive and associated with mild adhesion formation, resulting in a low incidence of small bowel obstruction after surgery. Theoretically, laparoscopic surgery may be a reasonable treatment modality for postoperative small bowel obstruction. This study aimed to evaluate the safety and effectiveness of laparoscopic surgery in the treatment of postoperative adhesive small bowel obstruction. MethodsThis study included in 404 consecutive patients who underwent laparoscopic surgery for postoperative small bowel obstruction at Kitasato University Kitasato Institute Hospital, Tokyo, Japan, between 2012 and 2021. ResultsThe median number of episodes of postoperative small bowel obstruction was 4 (range:1-26) times. The median duration of recurrent episodes of small bowel obstruction (hereinafter, duration of suffering) was 4 years (range:1-60). A transnasal decompression tube and ureteral stent were inserted before surgery in 34 (8.4%) and 14 (3.5%) patients, respectively. The median operation time and blood loss volume were 176 min (range:43-654) and 10 g (range:10-2335), respectively. Conversion to open surgery was required in 19 (4.5%) patients. The following surgical procedures were performed: laparoscopic adhesiolysis (n=341; 84.4%), laparoscopic adhesiolysis with partial resection of the small bowel (n=56; 13.9%), and stricture plasty and/or bypass (n=7; 1.7%). Postoperative complications occurred in 67 (16.8%) patients: paralytic ileus in 53 (13.1%) patients, small bowel injury in wight (1.9%) and postoperative bleeding in two (0.5%) patients. Operative mortality occurred in 1 (0.2%). ConclusionsLaparoscopic surgery can be safely performed in patients with postoperative adhesive small bowel obstruction.

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Usefulness of laparoscopic surgery and preoperative examinations for chronic recurrent small bowel obstruction

Cited by 2 publications

References 24 publications

Clinical Factors Associated with Intestinal Strangulating Obstruction and Recurrence in Adhesive Small Bowel Obstruction

Clinical Factors Associated with Intestinal Strangulating Obstruction and Recurrence in Adhesive Small Bowel Obstruction

Feasibility of Laparoscopic Surgery in Patients with Postoperative Adhesive Small Bowel Obstruction

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