Single-port laparoscopic treatment of small bowel obstruction

• Published in: The American journal of surgery Vol. 208; no. 3; pp. 470 - 475
• Main Authors: Choi, Byung Jo, M.D, Kim, Say-June, M.D., Ph.D, Lee, Sang Chul, M.D., Ph.D, Lee, Jae Im, M.D
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.09.2014; Elsevier Limited
• Subjects: Abdomen; Adhesion; Adolescent; Adult; Aged; Aged, 80 and over; Body mass index; Colleges & universities; Demographics; Female; Humans; Intestinal Obstruction - surgery; Intestine, Small - surgery; Intraoperative Complications - epidemiology; Ischemia; Laparoscopy; Laparoscopy - instrumentation; Laparoscopy - methods; Length of Stay; Male; Methods; Middle Aged; Mortality; Operative Time; Postoperative Complications - epidemiology; Retrospective Studies; Single port; Small bowel obstruction; Surgery; Tomography; Treatment Outcome; Young Adult; Single port; Small bowel obstruction; Laparoscopy
• ISSN: 0002-9610; 1879-1883
• DOI: 10.1016/j.amjsurg.2014.01.013

Abstract Background The aim of this study was to report our initial experience with single-port laparoscopic surgery (SPLS) for small bowel obstruction (SBO). Methods Between October 2009 and April 2013, 36 patients underwent SPLS for SBO. SPLS was performed transumbilically. Patient demographics and operative and postoperative outcomes were analyzed. Results SPLS for SBO was successful in 35 patients. In 1 patient, a conversion to laparotomy was required. The median incision length, operative time, and postoperative length of stay were 2.3 cm (range, 1.5 to 5.0 cm), 115 min (range, 30 to 250 min), and 8 days (range, 3 to 26 days), respectively. The median time to resume oral intake was 3 days (range, 1 to 16 days). The intra- and postoperative complication rates were 6% and 11%, respectively. Conclusion SPLS was a safe and feasible therapeutic approach for SBO and may also be an excellent diagnostic tool when performed by an experienced SPLS surgeon in selected patients.