TY - JOUR
T1 - Incidence of small bowel obstruction after laparoscopic and open colon resection
AU - Alvarez-Downing, Melissa
AU - Klaassen, Zachary
AU - Orringer, Robert
AU - Gilder, Mark
AU - Tarantino, Debra
AU - Chamberlain, Ronald S.
PY - 2011/3/1
Y1 - 2011/3/1
N2 - 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.
AB - 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.
KW - Adhesion
KW - Colorectal resection
KW - Laparoscopic surgery
KW - Small bowel Obstruction
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U2 - 10.1016/j.amjsurg.2010.09.015
DO - 10.1016/j.amjsurg.2010.09.015
M3 - Article
C2 - 21367389
AN - SCOPUS:79952119918
SN - 0002-9610
VL - 201
SP - 411
EP - 415
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 3
ER -