The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases

O’Connor, Donal B; Winter, Desmond C.

doi:10.1007/s00464-011-1885-9

Cited by 166 publications

(122 citation statements)

References 42 publications

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“…Sin embargo, este concepto lentamente ha ido cambiando a medida que los cirujanos han ido adquiriendo más experiencia en habilidades laparoscópicas avanzadas, tal como ha ocurrido en otras patologías como el cáncer colorrectal 7 .…”

Section: Discussionunclassified

“…Éstas incluyen la abolición de la incisión de la laparotomía y su mayor período de recuperación postoperatoria, así como la disminución en la incidencia de hernias incisionales y de las adherencias postoperatorias 13,14 . En el caso de la OIB, la laparoscopía es una herramienta diagnóstica y terapéutica, evitando una laparotomía y sus consecuencias 7 . En aquellos pacientes en los cuales sea prudente y necesario la conversión a cirugía abierta, la laparoscopía permite que la incisión de la laparotomía pueda ser dirigida y limitada al sitio de la obstrucción, evitando así grandes incisiones 13 .…”

Section: Discussionunclassified

“…En los casos de adherencias únicas como etiología de la obstrucción, en el 73,4% de los casos se pudo completar el tratamiento por laparoscopía en forma exitosa. Junto con lo anterior, identificaron que las tasas de éxito por vía laparoscó-pica aumentó de 57% entre los años 1994 y 2001, a 68% para los estudios publicados después de 2001, reflejando un aumento de la experiencia laparoscó-pica entre los equipos quirúrgicos 7 .…”

Section: Discussionunclassified

“…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

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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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Section: Discussionunclassified

Section: Introductionunclassified

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Tratamiento Laparoscópico De La Obstrucción Intestinal Por Bridas

et al. 2014

Rev Chil Cir

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“…Until present, no randomized controlled trial has been undertaken comparing laparoscopic and open adhesiolysis. However, many studies have tried to define the feasibility [63] and factors [64] [65]. Some recent studies have reported a higher success rate of around 75-90 % [66][67][68], but the number of patients were small (Table 4).…”

Section: Small Bowel Obstructionmentioning

confidence: 99%

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

et al. 2014

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Laparoscopy has already established itself as the preferred surgical approach in a variety of elective surgical conditions. Along with its usual advantages of less tissue trauma and faster recovery, its diagnostic as well as therapeutic role is making it an attractive option in emergency surgery. In this paper, we have reviewed the current status of laparoscopic surgery in luminal gastrointestinal emergencies. Relevant papers were selected using Medline database from 2007 to the present. These were reviewed, and outcomes were stated under the headings of appendicitis, perforated peptic ulcer, colorectal emergencies and small bowel obstruction. The laparoscopic intervention was found to be of clear benefit in most of the patients with appendicitis. Its role, however, is not absolutely clear in managing perforated peptic ulcers. Laparoscopic lavage and drainage have been recommended in diverticular perforation with limited contamination. Small case series and studies have shown benefits of laparoscopic surgery in iatrogenic colonic perforations, colonic obstruction, emergency colectomy and small bowel obstruction. Laparoscopic surgery can be recommended in appendicitis and lowrisk cases of perforated peptic ulcers. Its definitive role in other conditions needs more evidence. The surgeon's experience and careful patient selection are very important to improve the outcome.

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Diagnostic Laparoscopy of the Gastrointestinal Tract

Case¹

2015

Small Animal Laparoscopy and Thoracoscopy

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The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases

Abstract: Laparoscopy is a feasible and effective treatment for acute SBO with acceptable morbidity. Further studies are required to determine its impact on recurrent SBO.

Cited by 166 publications

References 42 publications

Tratamiento Laparoscópico De La Obstrucción Intestinal Por Bridas

Tratamiento Laparoscópico De La Obstrucción Intestinal Por Bridas

Laparoscopic Surgery in Luminal Gastrointestinal Emergencies—a Review of Current Status

Diagnostic Laparoscopy of the Gastrointestinal Tract

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