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10.01.2021 | Original Article | Ausgabe 5/2021

Surgery Today 5/2021

Usefulness of laparoscopic surgery and preoperative examinations for chronic recurrent small bowel obstruction

Zeitschrift:
Surgery Today > Ausgabe 5/2021
Autoren:
Masashi Yahagi, Yoshiyuki Ishii, Hiroki Ochiai, Hiroyuki Sako, Hinako Maeda, Yusuke Takemura, Taishu Oka, Keiichi Soutome, Noriki Kamiya, Masahiko Watanabe
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Abstract

Purpose

The aim of this study was to investigate the usefulness of laparoscopic surgery for patients with postoperative abdominal symptoms, including chronic recurrent small-bowel obstruction (SBO), and preoperative examinations of barium follow-through and computed tomography (CT) to predict the postoperative outcomes of laparoscopic surgery.

Methods

Between 2016 and 2018, 49 patients with postoperative symptoms were treated by laparoscopic surgery at our institute. The data from two preoperative examinations were available for 42 patients. The patients were divided into 4 groups: CT-positive (CP, n = 18), barium follow-through-positive (BP, n = 1), both positive (AP [all positive] n = 13), and both negative (AN [all negative], n = 10).

Results

Among the 49 patients, 41 received pure laparoscopic surgery, 7 received laparoscopic-assisted surgery with mini-laparotomy, and 1 required conversion. Intra- and postoperative complications occurred in two and seven patients, respectively. Improvement of abdominal symptoms was observed in 40 patients. In terms of the medium-term outcomes, the rate of improvement of symptoms was poorer in the AN group than in the other three groups, but not to a significant degree.

Conclusion

Laparoscopic surgery was safe and feasible for patients with chronic recurrent abdominal symptoms, including SBO. Furthermore, in patients with negative results on both preoperative examinations, laparoscopic surgery may yield only poor improvement of symptoms.

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