SynthesisSurgical endoscopy2015
Laparoscopic adhesiolysis for acute small bowel obstruction: systematic review and pooled analysis.
Synthesis in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Minimally invasive versus open surgery for adhesive small bowel obstruction: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Facing the unexpected: unusual causes of mechanical small bowel obstruction in adults.Clinical journal of gastroenterology · 2021Pooled it
- Laparoscopic versus open surgery for adhesional small bowel obstruction: a systematic review and meta-analysis of case-control studies.Surgical endoscopy · 2019Pooled it
- Laparoscopy or laparotomy for adhesive bowel obstruction in children: a systematic review and meta-analysis.Pediatric surgery international · 2018Pooled it
- Long-Term Outcomes After Laparoscopic vs Open Adhesiolysis for Small Bowel Obstruction: The LASSO Randomized Clinical Trial.JAMA surgery · 2026Trial
- Robotic surgery for small bowel obstruction: a propensity score-matched analysis of the ACS-NSQIP database.Surgical endoscopy · 2026Article
- An Integrated Review of Conventional and Emerging Diagnostic and Therapeutic Modalities to Reduce the Risk of Surgical Resections in Intestinal Tuberculosis.Diagnostics (Basel, Switzerland) · 2026Review
- Laparoscopic Versus Open Approach for Strangulated Small Bowel Obstruction: A Propensity Score-Matched Analysis.World journal of surgery · 2026Article
- A decade-long nationwide analysis of surgical management of adhesive small bowel obstruction: Open vs. laparoscopic approach.Surgical endoscopy · 2026Article
- Preoperative factors influence technique selection in surgical management of small bowel obstruction: findings from the SnapSBO multinational prospective observational study.Surgical endoscopy · 2025Observational
- Article
- A soft robotic, modular laparoscopic grasper for atraumatic retraction of the small intestine.Device · 2024Article
- Keys to successful laparoscopic adhesiolysis for adhesive small bowel obstruction: A scoping review.Heliyon · 2024Article
- Adhesive small bowel obstruction: predictive factors of laparoscopic failure.Updates in surgery · 2024Article
- Cesena guidelines: WSES consensus statement on laparoscopic-first approach to general surgery emergencies and abdominal trauma.World journal of emergency surgery : WJES · 2023Article
- Assessing outcomes in laparoscopic vs open surgical management of adhesive small bowel obstruction.Surgical endoscopy · 2023Article
- Feasibility of laparoscopy and factors associated with conversion to open in minimally invasive emergency major abdominal surgery: population database analysis.Surgical endoscopy · 2022Article
- Role of Laparoscopy in the Surgical Management of Acute Small Bowel Obstruction: Fact or Fiction?Cureus · 2021Article
- Role of single-incision laparoscopic surgery in the management of small bowel obstruction.Surgical endoscopy · 2021Article
- Clinical factors associated with success in applying laparoscopy in the management of small bowel obstruction at a tertiary care center.Surgical endoscopy · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAdhesional small bowel obstruction (SBO) occurs in 14-17% of patients within 2 years of open colorectal or general surgery. The aim of this pooled analysis is to compare the safety and efficacy of laparoscopic versus open treatment of SBO.
methodsAn electronic search of Embase, Medline, Web of Science, and Cochrane databases was performed. Weighted mean differences (WMDs) were calculated for the effect size of laparoscopic surgery on continuous variables, and pooled odds ratios (PORs) were calculated for discrete variables.
resultsThere were eleven non-randomized comparative studies included this review. Laparoscopic surgery was associated with a significant reduction in mortality (POR = 0.31; 95% CI 0.16-0.61; P = 0.0008), overall morbidity (POR = 0.34; 95 % CI 0.27-0.78; P < 0.0001), pneumonia (POR = 0.31; 95% CI 0.20-0.49; P < 0.0001), wound infection (POR = 0.29; 95% CI 0.12-0.70; P = 0.005), and length of hospital stay (WMD = -7.11; 95 % CI -8.47 to -5.75; P < 0.0001). The rates of bowel injury and reoperation were not significantly different between the two groups. Operative time was significantly longer in the laparoscopic group (WMD = 72.31; 95% CI 60.96-83.67; P < 0.0001).
conclusionLaparoscopic surgery for treatment of adhesional SBO improves clinical outcomes and can be performed safely in selected cases with similar rates of bowel injury and reoperation to open surgery. Large scale randomized controlled trials are needed to validate the findings of this pooled analysis of non-randomized data.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.