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Is laparoscopic surgery safe and feasible in acute adhesive ileus?
Although the classical surgical treatment of adhesive ileus is performed using the open method, laparoscopic surgery has recently been performed in some centers. This study aimed to discuss the feasibility and role of laparoscopic surgery in the treatment of adhesive small bowel obstruction. In this...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470780/ https://www.ncbi.nlm.nih.gov/pubmed/37653802 http://dx.doi.org/10.1097/MD.0000000000034894 |
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author | Gojayev, Afig Erkent, Murathan Aydin, Hüseyin Onur Karakaya, Emre Yildirim, Sedat Moray, Gökhan |
author_facet | Gojayev, Afig Erkent, Murathan Aydin, Hüseyin Onur Karakaya, Emre Yildirim, Sedat Moray, Gökhan |
author_sort | Gojayev, Afig |
collection | PubMed |
description | Although the classical surgical treatment of adhesive ileus is performed using the open method, laparoscopic surgery has recently been performed in some centers. This study aimed to discuss the feasibility and role of laparoscopic surgery in the treatment of adhesive small bowel obstruction. In this retrospective study, the data of 830 patients who were operated for ileus in Başkent University Faculty of Medicine, Ankara Hospital, Department of General Surgery between January 2011 and September 2022 were analyzed. Missing data and intraabdominal cancer-related ileus were accepted as exclusion criteria and 648 patients were excluded from the study. The development of adhesion-related ileus and completeness of the data were accepted as inclusion criteria. Data were compared between the 2 groups [open group (OG; 152 cases) and laparoscopic group (LG; 30 cases]). When the patient characteristics were evaluated, it was found that the history of previous abdominal surgery (P < .001) and the number of previous abdominal surgery (P < .001) were statistically significantly higher in OG. Operation time was significantly longer in the LG (P = .022). There were no statistically significant differences between the groups in terms of intraoperative bowel injury (P = .216), bowel resection (P = .284), and stoma creation (P = .331). OG had a significantly higher rate of Clavien-Dindo grade ≥ 3 serious complications (P < .001) and mortality rate (P = .045). The first gas out occurred significantly earlier in the LG (P = .014). Oral intake was initiated earlier in the LG (P = .004). The length of hospital stay was significantly shorter in the LG (P < .001). There was no significant difference between the groups in terms of postoperative ileus, readmission, and reoperation. Laparoscopic surgery can be safely performed for the treatment of selected patients with adhesive small bowel obstruction. In addition, it is advantageous in terms of postoperative recovery. |
format | Online Article Text |
id | pubmed-10470780 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-104707802023-09-01 Is laparoscopic surgery safe and feasible in acute adhesive ileus? Gojayev, Afig Erkent, Murathan Aydin, Hüseyin Onur Karakaya, Emre Yildirim, Sedat Moray, Gökhan Medicine (Baltimore) 7100 Although the classical surgical treatment of adhesive ileus is performed using the open method, laparoscopic surgery has recently been performed in some centers. This study aimed to discuss the feasibility and role of laparoscopic surgery in the treatment of adhesive small bowel obstruction. In this retrospective study, the data of 830 patients who were operated for ileus in Başkent University Faculty of Medicine, Ankara Hospital, Department of General Surgery between January 2011 and September 2022 were analyzed. Missing data and intraabdominal cancer-related ileus were accepted as exclusion criteria and 648 patients were excluded from the study. The development of adhesion-related ileus and completeness of the data were accepted as inclusion criteria. Data were compared between the 2 groups [open group (OG; 152 cases) and laparoscopic group (LG; 30 cases]). When the patient characteristics were evaluated, it was found that the history of previous abdominal surgery (P < .001) and the number of previous abdominal surgery (P < .001) were statistically significantly higher in OG. Operation time was significantly longer in the LG (P = .022). There were no statistically significant differences between the groups in terms of intraoperative bowel injury (P = .216), bowel resection (P = .284), and stoma creation (P = .331). OG had a significantly higher rate of Clavien-Dindo grade ≥ 3 serious complications (P < .001) and mortality rate (P = .045). The first gas out occurred significantly earlier in the LG (P = .014). Oral intake was initiated earlier in the LG (P = .004). The length of hospital stay was significantly shorter in the LG (P < .001). There was no significant difference between the groups in terms of postoperative ileus, readmission, and reoperation. Laparoscopic surgery can be safely performed for the treatment of selected patients with adhesive small bowel obstruction. In addition, it is advantageous in terms of postoperative recovery. Lippincott Williams & Wilkins 2023-08-25 /pmc/articles/PMC10470780/ /pubmed/37653802 http://dx.doi.org/10.1097/MD.0000000000034894 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 7100 Gojayev, Afig Erkent, Murathan Aydin, Hüseyin Onur Karakaya, Emre Yildirim, Sedat Moray, Gökhan Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title | Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title_full | Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title_fullStr | Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title_full_unstemmed | Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title_short | Is laparoscopic surgery safe and feasible in acute adhesive ileus? |
title_sort | is laparoscopic surgery safe and feasible in acute adhesive ileus? |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10470780/ https://www.ncbi.nlm.nih.gov/pubmed/37653802 http://dx.doi.org/10.1097/MD.0000000000034894 |
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