Gi Won Ha1, Min Ro Lee2, Jong Hun Kim1. 1. Research Institute of Clinical Medicine, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 561-180, South Korea. 2. Research Institute of Clinical Medicine, Chonbuk National University Medical School, San 2-20 Geumam-dong, Deokjin-gu, Jeonju, Jeonbuk 561-180, South Korea. Electronic address: gsminro@jbnu.ac.kr.
Abstract
BACKGROUND: It is considered that laparoscopic surgery is associated with a much lower rate of postoperative formation of adhesions than open surgery. This meta-analysis assessed the incidence of adhesion-related readmissions and surgery for adhesive small bowel obstruction (SBO) in patients who underwent laparoscopic or open colorectal surgery. METHODS: Multiple comprehensive databases were searched systematically to identify relevant studies and meta-analysis was done. RESULTS: Meta-analysis showed that laparoscopic surgery was associated with a lower rate of adhesive SBO, both for randomized clinical trials (relative risk [RR] .26, 95% confidence interval [CI] .10 to .67, I(2)=41%) and nonrandomized studies (RR .49, 95% CI .32 to .76, I(2)=91%). Laparoscopic surgery was also associated with a lower rate of subsequent surgery for adhesive SBO, both for randomized clinical trials (RR .25, 95% CI .06 to .96, I(2)=0%) and nonrandomized studies (RR .56, 95% CI .33 to .94, I(2)=77%). CONCLUSIONS: Laparoscopic colorectal surgery significantly reduced the rates of adhesive SBO and subsequent surgery for adhesive SBO, compared with open surgery.
BACKGROUND: It is considered that laparoscopic surgery is associated with a much lower rate of postoperative formation of adhesions than open surgery. This meta-analysis assessed the incidence of adhesion-related readmissions and surgery for adhesive small bowel obstruction (SBO) in patients who underwent laparoscopic or open colorectal surgery. METHODS: Multiple comprehensive databases were searched systematically to identify relevant studies and meta-analysis was done. RESULTS: Meta-analysis showed that laparoscopic surgery was associated with a lower rate of adhesive SBO, both for randomized clinical trials (relative risk [RR] .26, 95% confidence interval [CI] .10 to .67, I(2)=41%) and nonrandomized studies (RR .49, 95% CI .32 to .76, I(2)=91%). Laparoscopic surgery was also associated with a lower rate of subsequent surgery for adhesive SBO, both for randomized clinical trials (RR .25, 95% CI .06 to .96, I(2)=0%) and nonrandomized studies (RR .56, 95% CI .33 to .94, I(2)=77%). CONCLUSIONS: Laparoscopic colorectal surgery significantly reduced the rates of adhesive SBO and subsequent surgery for adhesive SBO, compared with open surgery.
Authors: Julie Flynn; Jose T Larach; Joseph C H Kong; Satish K Warrier; Alexander Heriot Journal: Int J Colorectal Dis Date: 2021-02-20 Impact factor: 2.571
Authors: Benjamin W P Rossi; Peter Labib; Elizabeth Ewers; Samantha Leong; Mark Coleman; Sebastian Smolarek Journal: Surg Endosc Date: 2019-03-12 Impact factor: 4.584
Authors: Norma E Farrow; Sarah J Commander; Christopher R Reed; Jenna L Mueller; Aryaman Gupta; Amos H P Loh; John Sekabira; Tamara N Fitzgerald Journal: Surg Endosc Date: 2020-11-17 Impact factor: 4.584