Surgery Today

, Volume 47, Issue 4, pp 432–439 | Cite as

Outcomes of laparoscopic management of acute small bowel obstruction: a 7-year experience of 110 consecutive cases with various etiologies

  • SiYuan Yao
  • Eiji Tanaka
  • Atsushi Ikeda
  • Teppei Murakami
  • Tatsuo Okumoto
  • Takehisa Harada
Original Article

Abstract

Purpose

Laparoscopic surgery is emerging as an alternative to open surgery for treating acute small bowel obstruction (SBO). While postoperative adhesion is the most frequent etiology, the optimum treatment for all types of SBO needs to be evaluated.

Methods

A retrospective review was performed of 110 consecutive patients who underwent laparoscopic surgery at our institution between 2009 and 2015. The short-term outcomes included perioperative factors, while the long-term outcome included the recurrence rate.

Results

Of the 110 patients, 55 were female. The median age at surgery was 69.5 years. Laparoscopic surgery was completed in 91.8 %. The median operative time was 82 min, median amount of bleeding was 0 ml, and median postoperative hospital stay was 8 days. Intraoperative major organ injury was seen in 2.7 %. The complication rate (Clavien–Dindo ≥ class II) was 8.2 %, and the mortality rate was 3.6 %. The recurrence rate was 8.2 %. Only dense and matted adhesion was a predictive factor for conversion (OR 30.244).

Conclusion

Good short-term outcomes and feasible long-term outcomes were achieved with a laparoscopic approach to treating acute SBO. It was a safe and effective method, especially in patients with isolated bands, simple enteral angulation, and foreign body or tumor, while dense and matted adhesions were still challenging.

Keywords

Small bowel obstruction Laparoscopic surgery Outcome 

Notes

Acknowledgments

The authors thank Edanz Ltd., who provided their medical editing services.

Compliance with ethical standards

Conflict of interest

The authors declare no conflicts of interest.

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Copyright information

© Springer Japan 2016

Authors and Affiliations

  1. 1.Department of SurgeryKobe City Medical Center West HospitalKobeJapan

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