Indications for the laparoscopic approach to acute small bowel obstruction: A retrospective review of 50 cases, a literature review, and a single hospital's preliminary experience

Small bowel obstruction (SBO) is mainly caused by postoperative adhesions, but a broad spectrum of diseases may cause this pathogenetic condition. Laparoscopic treatment represents an efficient approach to SBO. The aim of this paper was to review a single center's experience with a minimally in...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2016-05, Vol.9 (2), p.152-156
Main Authors: Cantarella, Francesco, Evoli, Luca Pio, Renzi, Claudio, Cavazzoni, Emanuel, Contine, Alessandro, Cesari, Maurizio, Donini, Annibale
Format: Article
Language:English
Subjects:
Acute Disease
Female
Hospitals
Humans
Incisional hernia
Intestinal Obstruction - diagnosis
Intestinal Obstruction - etiology
Intestinal Obstruction - surgery
Intestine, Small
laparoscopic surgery
Laparoscopy
Male
Middle Aged
Mortality
Patient Selection
Retrospective Studies
small bowel obstruction
Treatment Outcome
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Summary:Small bowel obstruction (SBO) is mainly caused by postoperative adhesions, but a broad spectrum of diseases may cause this pathogenetic condition. Laparoscopic treatment represents an efficient approach to SBO. The aim of this paper was to review a single center's experience with a minimally invasive approach to multiple pathologic scenarios causing SBO. From January 2010 to December 2012, 50 consecutive patients underwent laparoscopic surgery for mechanical SBO. In 90% of patients, the surgical procedure was totally laparoscopic, while 10% required conversion to midline laparotomy. In‐hospital morbidity was 15% among totally laparoscopic patients and 40% among those who underwent conversion to midline laparotomy. Thirty‐day mortality was zero. One patient died 4 months postoperatively from neoplastic disease progression; the remaining patients were free from occlusive symptoms at follow‐up. The minimally invasive technique applies to a broad spectrum of cases. A larger cohort of patients seems necessary to reproduce our results and confirm the effectiveness of a laparoscopic approach to SBO.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12267