Single-port laparoscopic treatment of small bowel obstruction

Abstract Background The aim of this study was to report our initial experience with single-port laparoscopic surgery (SPLS) for small bowel obstruction (SBO). Methods Between October 2009 and April 2013, 36 patients underwent SPLS for SBO. SPLS was performed transumbilically. Patient demographics an...

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Bibliographic Details
Published in:The American journal of surgery 2014-09, Vol.208 (3), p.470-475
Main Authors: Choi, Byung Jo, M.D, Kim, Say-June, M.D., Ph.D, Lee, Sang Chul, M.D., Ph.D, Lee, Jae Im, M.D
Format: Article
Language:English
Subjects:
Abdomen
Adhesion
Adolescent
Adult
Aged
Aged, 80 and over
Body mass index
Colleges & universities
Demographics
Female
Humans
Intestinal Obstruction - surgery
Intestine, Small - surgery
Intraoperative Complications - epidemiology
Ischemia
Laparoscopy
Laparoscopy - instrumentation
Laparoscopy - methods
Length of Stay
Male
Methods
Middle Aged
Mortality
Operative Time
Postoperative Complications - epidemiology
Retrospective Studies
Single port
Small bowel obstruction
Surgery
Tomography
Treatment Outcome
Young Adult
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Summary:Abstract Background The aim of this study was to report our initial experience with single-port laparoscopic surgery (SPLS) for small bowel obstruction (SBO). Methods Between October 2009 and April 2013, 36 patients underwent SPLS for SBO. SPLS was performed transumbilically. Patient demographics and operative and postoperative outcomes were analyzed. Results SPLS for SBO was successful in 35 patients. In 1 patient, a conversion to laparotomy was required. The median incision length, operative time, and postoperative length of stay were 2.3 cm (range, 1.5 to 5.0 cm), 115 min (range, 30 to 250 min), and 8 days (range, 3 to 26 days), respectively. The median time to resume oral intake was 3 days (range, 1 to 16 days). The intra- and postoperative complication rates were 6% and 11%, respectively. Conclusion SPLS was a safe and feasible therapeutic approach for SBO and may also be an excellent diagnostic tool when performed by an experienced SPLS surgeon in selected patients.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2014.01.013