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Laparoscopic Management of Intestinal Obstruction: Clinical Effectiveness

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DOI: 10.23977/medsc.2024.050402 | Downloads: 4 | Views: 127

Author(s)

Zheng Liu 1, Xiaocheng Mei 1, Lin Yang 2

Affiliation(s)

1 Department of General Surgery, People's Hospital of Pu'er City, Yunnan, 653304, China
2 Universiti Teknologi MARA, Shah Alam, 40450, Malaysia

Corresponding Author

Lin Yang

ABSTRACT

Our study scrutinizes the prowess of laparoscopic methods in tackling intestinal obstructions, gauging their scope for widespread application. It engaged 90 patients diagnosed from April 2020 to April 2021, randomly allocated into two factions. Forty-five patients encountered the rigors of traditional open surgery, while an equal number embraced the gentler touch of minimally invasive laparoscopic intervention. An examination of surgical metrics like operation span, blood loss, expense, and incision breadth was executed. The findings revealed that the laparoscopic faction outperformed on every front. They savored brisker surgeries, scantier blood loss, thriftier expenses, and trimmer incisions. Moreover, they boasted a substantially slimmer tally of postoperative complications and a robust enhancement in treatment efficacy (P<0.05). These revelations advocate that laparoscopic surgery not only sharpens surgical precision but also curtails hospital durations and trims down complication rates, endorsing it as a superior strategy for the surgical untangling of intestinal obstructions and advocating for its broader adoption in clinical practice.

KEYWORDS

Bowel Obstruction; Abdominal Surgery; Postoperative Complications

CITE THIS PAPER

Zheng Liu, Xiaocheng Mei, Lin Yang, Laparoscopic Management of Intestinal Obstruction: Clinical Effectiveness. MEDS Clinical Medicine (2024) Vol. 5: 8-13. DOI: http://dx.doi.org/10.23977/medsc.2024.050402.

REFERENCES

[1] Krielen P, Di Saverio S, Ten Broek R, et al. Laparoscopic versus open approach for adhesive small bowel obstruction, a systematic review and meta-analysis of short term outcomes[J]. Journal of Trauma and Acute Care Surgery, 2020, 88(6): 866-874.
[2] Quah G S, Eslick G D, Cox M R. Laparoscopic versus open surgery for adhesional small bowel obstruction: a systematic review and meta-analysis of case–control studies[J]. Surgical endoscopy, 2019, 33: 3209-3217.
[3] Sallinen V, Di Saverio S, Haukijärvi E, et al. Laparoscopic versus open adhesiolysis for adhesive small bowel obstruction (LASSO): an international, multicentre, randomised, open-label trial[J]. The Lancet gastroenterology & hepatology, 2019, 4(4): 278-286.
[4] Cui N, Liu J, Tan H. Comparison of laparoscopic surgery versus traditional laparotomy for the treatment of emergency patients [J]. Journal of International Medical Research, 2020, 48(3): 0300060519889191.
[5] Håkanson C A, Fredriksson F, Lilja H E. Adhesive small bowel obstruction after appendectomy in children–Laparoscopic versus open approach[J]. Journal of pediatric surgery, 2020, 55(11): 2419-2424.
[6] Lima M, Di Salvo N, Cordola C, et al. Laparoscopy-assisted versus open surgery in treating intestinal atresia: single center experience[J]. Journal of Investigative Surgery, 2021, 34(8): 842-847.
[7] Podda M, Khan M, Di Saverio S. Adhesive small bowel obstruction and the six w's: who, how, why, when, what, and where to diagnose and operate? [J]. Scandinavian Journal of Surgery, 2021, 110(2): 159-169.
[8] Rondelli F, Gemini A, Cerasari S, et al. Laparoscopic vs. open loop ileostomy reversal: a meta-analysis of randomized and non-randomized studies[J]. Langenbeck's Archives of Surgery, 2023, 408(1): 329.
[9] Stenberg E, Ottosson J, Szabo E, et al. Comparing techniques for mesenteric defects closure in laparoscopic gastric bypass surgery—a register-based cohort study[J]. Obesity Surgery, 2019, 29: 1229-1235.
[10] Assali S, Mourany J, Jones B, et al. Technical approach to laparoscopic examination of the small bowel in gallstone ileus[J]. Case Reports in Surgery, 2020, 2020.
[11] Krielen P, Stommel M W J, Pargmae P, et al. Adhesion-related readmissions after open and laparoscopic surgery: a retrospective cohort study (SCAR update)[J]. The Lancet, 2020, 395(10217): 33-41.
[12] Zhang J, Xu X, Wang X, et al. Laparoscopic versus open repair of congenital duodenal obstruction: a systematic review and meta-analysis[J]. Pediatric Surgery International, 2022, 38(11): 1507-1515.
[13] Moghadamyeghaneh Z, Talus H, Ballantyne G, et al. Short-term outcomes of laparoscopic approach to colonic obstruction for colon cancer[J]. Surgical endoscopy, 2021, 35: 2986-2996.
[14] Foss N B, Kehlet H. Challenges in optimising recovery after emergency laparotomy [J]. Anaesthesia, 2020, 75: e83-e89.
[15] Detz D J, Podrat J L, Castro J C M, et al. Small bowel obstruction[J]. Current problems in surgery, 2021, 58(7): 100893. 
[16] Sebastian-Valverde E, Poves I, Membrilla-Fernández E, et al. The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction [J]. BMC surgery, 2019, 19(1): 1-7.

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