Laparoscopic approach compared with conventional open approach for bezoar-induced small-bowel obstruction

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Bezoar-induced small-bowel obstruction (SBO) is a rare surgical emergency.
• Preoperative diagnosis is challenging, often leading to open laparotomy.
• Laparoscopy is emerging as a feasible alternative for SBO management.

Purpose of the Study:

• To compare the outcomes of laparoscopic treatment versus open surgery for bezoar-induced SBO.
• To evaluate the safety and efficacy of laparoscopic management for SBO.
• To assess the impact of surgical approach on patient outcomes.

Main Methods:

• A retrospective study compared 10 laparoscopic cases with 14 open laparotomy cases of bezoar-induced SBO.
• Data collected included patient demographics, operative details, and surgical outcomes.
• Patients were matched for age, sex, and physiological status.

Main Results:

• Laparoscopic treatment was associated with significantly shorter operative times (P = .048).
• Fewer postoperative complications were observed in the laparoscopic group (P = .04).
• Patients undergoing laparoscopy experienced a reduced hospital stay (P = .009).

Conclusions:

• Laparoscopy is a safe and effective treatment for bezoar-induced SBO when performed by experienced surgeons.
• The laparoscopic approach offers superior postoperative outcomes compared to conventional open surgery.
• Laparoscopic management of SBO leads to improved patient recovery.