Meta-analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery

Abstract

The reduction in postoperative bowel obstruction demonstrates an advantage of laparoscopic surgery in patients with colorectal disease.

Population-based study to re-evaluate optimal lymph node yield in colonic cancer

“…In the present study, there was no association between surgeon volume or surgical technique and the detection of LN‐positive disease. Laparoscopic resection has been shown to be associated with decreased perioperative morbidity despite affecting LN clearance, including a reduction in postoperative bowel obstruction, as well equivocal OS in comparison with open resection in long‐term follow‐up. The lack of association with surgeon volume likely reflects standardization of the colonic resection procedure among surgeons in Ontario, placing most of the onus on the pathological examination and identification of LNs in the specimen provided.…”

Receiver operating characteristic analysis to determine optimal fluid management during open colorectal surgery

“…In many countries the open approach for colorectal resection has been steadily replaced by minimally invasive techniques with improved patient recovery and reduced length of stay as well as decreased postoperative short‐term morbidity . Nevertheless, the open approach remains inevitable in some circumstances such as an unfavourable patient or pathological or surgery‐related conditions .…”

Postoperative mechanical bowel obstruction after pharyngolaryngectomy for hypopharyngeal cancer: Retrospective analysis using a Japanese inpatient database

“…In another trial of patients with colon or rectal cancers, the development of mechanical bowel obstruction within <3 years was detected in 3.1% of patients in the open surgery group and 2.5% of those in the laparoscopic surgery group; again, without any significant difference between them . A recent meta‐analysis of patients who underwent colorectal surgery obtained weighted mean values for early postoperative mechanical bowel obstruction of 8% and 5% for open and laparoscopic surgery, and for late postoperative mechanical bowel obstruction of 4% and 3%, respectively . A recent randomized controlled trial of the effect of the prokinetic Japanese herbal medicine Daikenchuto in patients with total gastrectomy did not find a significant difference in the occurrence of mechanical bowel obstruction between patients receiving Daikenchuto and those who did not (3.1% and 2.0%, respectively) …”

“…24 A recent meta-analysis of patients who underwent colorectal surgery obtained weighted mean values for early postoperative mechanical bowel obstruction of 8% and 5% for open and laparoscopic surgery, and for late postoperative mechanical bowel obstruction of 4% and 3%, respectively. 25 A recent randomized controlled trial of the effect of the prokinetic Japanese herbal medicine Daikenchuto in patients with total gastrectomy did not find a significant difference in the occurrence of mechanical bowel obstruction between patients receiving Daikenchuto and those who did not (3.1% and 2.0%, respectively). 26 The well-known risk factors of mechanical bowel obstruction include patient characteristics and surgical factors.…”