Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study

Aim of the study: Laparoscopic adhesiolysis in small bowel obstruction (SBO) is getting increasingly normal. In patients with multiple adhesive SBOs (MASBO), laparoscopic approaches might increase the risk of bowel injury due to the distended and potentially compromised small bowel. It remains a cha...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Daniel Gómez, Luis F. Cabrera-Vargas, Mauricio Pedraza, Andres Mendoza, Jean A. Pulido-Segura, Ricardo Villarreal-Viana, Andres Urrutia, Sebastian Sanchez-Ussa, Salomone Di Saverio
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Hand-assisted laparoscopy. Intestinal obstruction. Laparoscopy. Surgery. Tissue adhesions. Surgery RD1-811
Acceso en línea:	https://doaj.org/article/494be13c0fbe49d09a46cd756bf8713e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:494be13c0fbe49d09a46cd756bf8713e
record_format	dspace
spelling	oai:doaj.org-article:494be13c0fbe49d09a46cd756bf8713e2021-12-01T20:20:04ZMinimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study10.24875/CIRU.200008952444-054Xhttps://doaj.org/article/494be13c0fbe49d09a46cd756bf8713e2021-01-01T00:00:00Zhttps://www.cirugiaycirujanos.com/frame_esp.php?id=572https://doaj.org/toc/2444-054XAim of the study: Laparoscopic adhesiolysis in small bowel obstruction (SBO) is getting increasingly normal. In patients with multiple adhesive SBOs (MASBO), laparoscopic approaches might increase the risk of bowel injury due to the distended and potentially compromised small bowel. It remains a challenge to the surgeons, entails an interdisciplinary team, trying to achieve the least complications as possible. The study aimed to compare surgical outcomes of laparoscopic procedures (multi-port vs. single-port) in the management of MASBO. Patients and Methods: Comparative study of 68 patients with post-operative MASBO treated with Single-Port single incision laparoscopic surgery (SILS) and Multi-port Laparoscopic Surgery in two centers of Bogota, Colombia between January 2013 and June 2018. Results: All patients underwent laparoscopic management, 27 patients by SILS, and 41 patients by multi-port. The average surgical time in the multiport approach was 167 min versus SILS with 129 min. Laparoscopic intestinal resection was performed in 4.4% of patients, through multi-port using intracorporeal anastomosis. Mean hospital stay of 3.2 days for the SILS approach versus multi-port in 2.2 days. Conclusions: Both laparoscopic approaches, in MASBO treatment is feasible in qualified hands. Patient selection and medical judgment seem to be the most essential factors for a positive result. Daniel GómezLuis F. Cabrera-VargasMauricio PedrazaAndres MendozaJean A. Pulido-SeguraRicardo Villarreal-VianaAndres UrrutiaSebastian Sanchez-UssaSalomone Di SaverioPermanyerarticleHand-assisted laparoscopy. Intestinal obstruction. Laparoscopy. Surgery. Tissue adhesions.SurgeryRD1-811ENESCirugía y Cirujanos, Vol 89, Iss 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Hand-assisted laparoscopy. Intestinal obstruction. Laparoscopy. Surgery. Tissue adhesions. Surgery RD1-811
spellingShingle	Hand-assisted laparoscopy. Intestinal obstruction. Laparoscopy. Surgery. Tissue adhesions. Surgery RD1-811 Daniel Gómez Luis F. Cabrera-Vargas Mauricio Pedraza Andres Mendoza Jean A. Pulido-Segura Ricardo Villarreal-Viana Andres Urrutia Sebastian Sanchez-Ussa Salomone Di Saverio Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
description	Aim of the study: Laparoscopic adhesiolysis in small bowel obstruction (SBO) is getting increasingly normal. In patients with multiple adhesive SBOs (MASBO), laparoscopic approaches might increase the risk of bowel injury due to the distended and potentially compromised small bowel. It remains a challenge to the surgeons, entails an interdisciplinary team, trying to achieve the least complications as possible. The study aimed to compare surgical outcomes of laparoscopic procedures (multi-port vs. single-port) in the management of MASBO. Patients and Methods: Comparative study of 68 patients with post-operative MASBO treated with Single-Port single incision laparoscopic surgery (SILS) and Multi-port Laparoscopic Surgery in two centers of Bogota, Colombia between January 2013 and June 2018. Results: All patients underwent laparoscopic management, 27 patients by SILS, and 41 patients by multi-port. The average surgical time in the multiport approach was 167 min versus SILS with 129 min. Laparoscopic intestinal resection was performed in 4.4% of patients, through multi-port using intracorporeal anastomosis. Mean hospital stay of 3.2 days for the SILS approach versus multi-port in 2.2 days. Conclusions: Both laparoscopic approaches, in MASBO treatment is feasible in qualified hands. Patient selection and medical judgment seem to be the most essential factors for a positive result.
format	article
author	Daniel Gómez Luis F. Cabrera-Vargas Mauricio Pedraza Andres Mendoza Jean A. Pulido-Segura Ricardo Villarreal-Viana Andres Urrutia Sebastian Sanchez-Ussa Salomone Di Saverio
author_facet	Daniel Gómez Luis F. Cabrera-Vargas Mauricio Pedraza Andres Mendoza Jean A. Pulido-Segura Ricardo Villarreal-Viana Andres Urrutia Sebastian Sanchez-Ussa Salomone Di Saverio
author_sort	Daniel Gómez
title	Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
title_short	Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
title_full	Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
title_fullStr	Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
title_full_unstemmed	Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study
title_sort	minimal invasive surgery for multiple adhesive small bowel obstruction: results of a comparative multicenter study
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/494be13c0fbe49d09a46cd756bf8713e
work_keys_str_mv	AT danielgomez minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT luisfcabreravargas minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT mauriciopedraza minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT andresmendoza minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT jeanapulidosegura minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT ricardovillarrealviana minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT andresurrutia minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT sebastiansanchezussa minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy AT salomonedisaverio minimalinvasivesurgeryformultipleadhesivesmallbowelobstructionresultsofacomparativemulticenterstudy
_version_	1718404570934149120

Minimal invasive surgery for multiple adhesive small bowel obstruction: Results of a comparative multicenter study

Ejemplares similares