Incidence of small bowel obstruction after laparoscopic and open colon resection

Melissa Alvarez-Downing, Zachary Klaassen, Robert Orringer, Mark Gilder, Debra Tarantino, Ronald S. Chamberlain

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Background Small bowel obstruction (SBO) is responsible for more than 1 billion dollars in health care costs yearly in the United States. We sought to evaluate whether laparoscopic colorectal surgery resulted in a decreased incidence of SBO within the first year of surgical resection compared with open surgery. Methods From January 2003 to December 2008, 339 patients underwent open (open colorectal resection [OPEN]) colorectal resection and 448 patients underwent laparoscopic (laparoscopic colorectal resection [LAP]) colorectal resection. Hospital admissions up to 1 year after the initial resection identified patients admitted for the management of SBO, ileus, or nausea and vomiting. Results During the 1st year after surgery, 6 patients in the OPEN group developed SBO, and 5 patients in the LAP group developed SBO. The overall frequency of SBO for the OPEN group was 1.8% and 1.1% for the LAP group (P < .5461). Conclusions Although advantages such as quicker postoperative recovery and decreased hospital stay have been attributed to laparoscopic surgery, no difference in the incidence of SBO within the 1st year of surgery was found compared with open colorectal surgery.

Original languageEnglish (US)
Pages (from-to)411-415
Number of pages5
JournalAmerican Journal of Surgery
Volume201
Issue number3
DOIs
StatePublished - Mar 1 2011
Externally publishedYes

Keywords

  • Adhesion
  • Colorectal resection
  • Laparoscopic surgery
  • Small bowel Obstruction

ASJC Scopus subject areas

  • Surgery

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    Alvarez-Downing, M., Klaassen, Z., Orringer, R., Gilder, M., Tarantino, D., & Chamberlain, R. S. (2011). Incidence of small bowel obstruction after laparoscopic and open colon resection. American Journal of Surgery, 201(3), 411-415. https://doi.org/10.1016/j.amjsurg.2010.09.015