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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

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Laparoscopic versus open surgery in small bowel obstruction.

Roberto Cirocchi¹, Iosief Abraha, Eriberto Farinella

¹Clinica Chirurgica Generale e d'Urgenza, Azienda Ospedaliera di Terni, Terni, Italy, 05100.

The Cochrane Database of Systematic Reviews

|February 19, 2010

Summary

This summary is machine-generated.

High-quality studies are needed to determine if laparoscopic surgery is better than open surgery for small bowel obstruction (SBO). Current evidence is limited, but suggests potential benefits for laparoscopic approaches.

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Area of Science:

Surgical Gastroenterology
Minimally Invasive Surgery
Clinical Trials Methodology

Background:

Acute intestinal obstruction is a common surgical emergency, with small bowel obstruction (SBO) accounting for most cases.
Adhesions are the primary cause of SBO.
The role of laparoscopy in SBO management is not yet clearly defined, despite its potential diagnostic and therapeutic functions.

Purpose of the Study:

To systematically review the feasibility and safety of laparoscopic or laparoscopy-assisted surgery for acute SBO.
To compare the short-term and long-term outcomes of laparoscopic versus open surgery for SBO.

Main Methods:

Searched Cochrane Central, MEDLINE, and EMBASE for randomized and prospective controlled clinical trials.
Included trials comparing laparoscopic/laparoscopy-assisted surgery with open surgery for acute SBO.
Conducted review following Cochrane Collaboration guidelines using Review Manager 5.

Main Results:

No randomized controlled trials or prospective controlled clinical trials comparing laparoscopy with open surgery for SBO were identified.
The search yielded no high-quality evidence to directly compare the two surgical approaches.

Conclusions:

Retrospective data suggest laparoscopy may be feasible and offer benefits like reduced hospital stay and mortality.
High-quality randomized controlled trials are essential to evaluate outcomes such as mortality, morbidity, hospital stay, and conversion rates.
Further research is needed to establish the definitive role of laparoscopic surgery in managing acute SBO.