BACKGROUND: This is a retrospective review of our experience using a laparoscopic approach in the treatment of acute and chronic small bowel obstruction (SBO). MATERIALS AND METHODS: Of 136 patients hospitalized in our institutions for acute (94 cases: 69.1%) and chronic (42 cases: 30.8%) SBO, from January 1994 to March 1998, 63 (46.3%) were approached laparoscopically. The etiology was accurately diagnosed in 58 cases (92%), and it was possible to treat it laparoscopically in 82.5% (52 of 63 cases). In the remaining 11 cases (17.4%), a formal laparotomy was needed for bowel resection, due to an ischemic small bowel or for malignant disease. RESULTS: Overall, 82.5% of our cases were successfully treated laparoscopically. CONCLUSIONS: We conclude that, in experienced hands, laparoscopy is an excellent diagnostic and, in the majority of cases, a therapeutic surgical approach in selected patients with acute or chronic SBO.
BACKGROUND: This is a retrospective review of our experience using a laparoscopic approach in the treatment of acute and chronic small bowel obstruction (SBO). MATERIALS AND METHODS: Of 136 patients hospitalized in our institutions for acute (94 cases: 69.1%) and chronic (42 cases: 30.8%) SBO, from January 1994 to March 1998, 63 (46.3%) were approached laparoscopically. The etiology was accurately diagnosed in 58 cases (92%), and it was possible to treat it laparoscopically in 82.5% (52 of 63 cases). In the remaining 11 cases (17.4%), a formal laparotomy was needed for bowel resection, due to an ischemic small bowel or for malignant disease. RESULTS: Overall, 82.5% of our cases were successfully treated laparoscopically. CONCLUSIONS: We conclude that, in experienced hands, laparoscopy is an excellent diagnostic and, in the majority of cases, a therapeutic surgical approach in selected patients with acute or chronic SBO.
Authors: S Sauerland; F Agresta; R Bergamaschi; G Borzellino; A Budzynski; G Champault; A Fingerhut; A Isla; M Johansson; P Lundorff; B Navez; S Saad; E A M Neugebauer Journal: Surg Endosc Date: 2005-10-24 Impact factor: 3.453
Authors: Ferdinando Agresta; Luigi Francesco Ciardo; Giorgio Mazzarolo; Ivan Michelet; Guido Orsi; Giuseppe Trentin; Natalino Bedin Journal: World J Emerg Surg Date: 2006-03-24 Impact factor: 5.469
Authors: Eriberto Farinella; Roberto Cirocchi; Francesco La Mura; Umberto Morelli; Lorenzo Cattorini; Pamela Delmonaco; Carla Migliaccio; Angelo A De Sol; Luca Cozzaglio; Francesco Sciannameo Journal: World J Emerg Surg Date: 2009-01-19 Impact factor: 5.469