Laparoscopic mobilization and exteriorization for minimally invasive small bowel resection

Attwood, S. E. A.; Kelly, Isaac; O'Connell, P. R.; Corrigan, T.

doi:10.1002/bjs.1800800235

Cited by 16 publications

(2 citation statements)

References 5 publications

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“…Since the advent of laparoscopy in the 1980s, it has become possible to access and biopsy a variety of intra‐abdominal tissues in a minimally invasive manner. With the realization that bowel resection and anastomosis could be performed safely by completely intraperitoneal or laparoscopically assisted extraperitoneal approaches, 1,2 case reports in which thus performed full‐thickness bowel biopsy contributed to the diagnosis of inflammatory and neoplastic conditions have been described 3,4 . Further groups of patients in which this technique may be valuable diagnostically are those in which unexplained severe sensorimotor dysfunction suggests underlying gastrointestinal (GI) neuromuscular pathology in which open surgery may worsen prognosis 5 .…”

Section: Introductionmentioning

confidence: 99%

Safety and diagnostic yield of laparoscopically assisted full‐thickness bowel biospy

Knowles

Veress

Törnblom

et al. 2008

Neurogastroenterology Motil

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Advances in minimally invasive surgery have made laparoscopy and full-thickness bowel biopsy possible in the investigation of patients with suspected gastrointestinal neuromuscular disorders. The safety and diagnostic yield of this investigation have not been formally reported. A prospective study was undertaken of 124 patients with clinico-physiological diagnoses of chronic intestinal pseudo-obstruction, enteric dysmotility and severe irritable bowel syndrome undergoing LFTB in three European teaching centres with expertise in the management of gastrointestinal neuromuscular disorders. Perioperative data were collected including complications. Diagnostic yield was expressed as proportion with well-established specific neuromuscular abnormalities based on a protocol of routine and immunohistochemical techniques. The majority of patients underwent a laparoscopically assisted procedure with extracorporeal biopsy. Median operating time was 50 min, conversion rate 2% and length of stay 1 day. There was an 8% readmission rate for obstructive symptoms but minimal other morbidity and no mortality. Overall specific diagnostic yield was 81%, being high for jejunal biopsies (89%) but low for a small number of ileal and colonic biopsies. Laparoscopy and full-thickness biopsy of the bowel appears acceptable in terms of safety. It should be performed in a jejunal site to achieve a high diagnostic yield.

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Section: Introductionmentioning

confidence: 99%

Safety and diagnostic yield of laparoscopically assisted full‐thickness bowel biospy

Knowles

Veress

Törnblom

et al. 2008

Neurogastroenterology Motil

View full text Add to dashboard Cite

show abstract

“…Laparoscopy has been utilized in small bowel resection for a variety of pathological conditions, including diverticula [1,2] and carcinoma [1]. We recently performed a laparoscopic-assisted small bowel resection for a bleeding leiomyoma.…”

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confidence: 99%