作者
Alexander Ross Darbyshire, Ina Kostakis, Philip H Pucher, Simon KC Toh, SJ Mercer
发表日期
2021/4
期刊
The Annals of The Royal College of Surgeons of England
卷号
103
期号
4
页码范围
255-262
出版商
Royal College of Surgeons
简介
Introduction
Laparoscopic adhesiolysis is increasingly being used to treat adhesional small bowel obstruction (ASBO) as it has been associated with reduced postoperative length of stay (LOS) and faster recovery. However, concerns regarding limited working space, iatrogenic bowel injury and failure to relieve the obstruction have limited its uptake. This study reports our centre’s experience of adopting laparoscopy as the standard operative approach.
Methods
A single-centre prospective cohort study was performed incorporating local data from the National Emergency Laparotomy Audit Database; January 2015 to December 2019. All patients undergoing surgery for ASBO were included. Patient demographic, operative and inhospital outcomes data were compared between different surgical approaches. Linear regression analysis was performed for LOS.
Results
A total of 299 cases were identified. Overall, 76.3 …
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AR Darbyshire, I Kostakis, PH Pucher, SKC Toh… - The Annals of The Royal College of Surgeons of …, 2021