Usefulness of laparoscopic surgery and preoperative examinations for chronic recurrent small bowel obstruction
| Autor: | Masashi Yahagi, Hiroki Ochiai, Hiroyuki Sako, Yoshiyuki Ishii, Taishu Oka, Keiichi Soutome, Hinako Maeda, Noriki Kamiya, Masahiko Watanabe, Yusuke Takemura |
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| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
Male medicine.medical_specialty medicine.medical_treatment Computed tomography Endoscopy Gastrointestinal 03 medical and health sciences 0302 clinical medicine Postoperative Complications Surgical oncology Recurrence Intestine Small medicine Humans In patient Laparotomy medicine.diagnostic_test business.industry General Medicine medicine.disease Surgery Bowel obstruction Treatment Outcome Barium 030220 oncology & carcinogenesis Chronic Disease Preoperative Period Feasibility Studies 030211 gastroenterology & hepatology Female Laparoscopy Abdominal symptoms Safety business Tomography X-Ray Computed Intestinal Obstruction Forecasting |
| Zdroj: | Surgery today. 51(5) |
| ISSN: | 1436-2813 |
| Popis: | The aim of this study was to investigate the usefulness of laparoscopic surgery for patients with postoperative abdominal symptoms, including chronic recurrent small-bowel obstruction (SBO), and preoperative examinations of barium follow-through and computed tomography (CT) to predict the postoperative outcomes of laparoscopic surgery. Between 2016 and 2018, 49 patients with postoperative symptoms were treated by laparoscopic surgery at our institute. The data from two preoperative examinations were available for 42 patients. The patients were divided into 4 groups: CT-positive (CP, n = 18), barium follow-through-positive (BP, n = 1), both positive (AP [all positive] n = 13), and both negative (AN [all negative], n = 10). Among the 49 patients, 41 received pure laparoscopic surgery, 7 received laparoscopic-assisted surgery with mini-laparotomy, and 1 required conversion. Intra- and postoperative complications occurred in two and seven patients, respectively. Improvement of abdominal symptoms was observed in 40 patients. In terms of the medium-term outcomes, the rate of improvement of symptoms was poorer in the AN group than in the other three groups, but not to a significant degree. Laparoscopic surgery was safe and feasible for patients with chronic recurrent abdominal symptoms, including SBO. Furthermore, in patients with negative results on both preoperative examinations, laparoscopic surgery may yield only poor improvement of symptoms. |
| Databáze: | OpenAIRE |
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