ArticleAnnals of the Royal College of Surgeons of England2021
The impact of laparoscopy on emergency surgery for adhesional small bowel obstruction: prospective single centre cohort study.
Article in Annals of the Royal College of Surgeons of England, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 17 citations in OpenAlex.
- Enhanced recovery programs following adhesive small bowel obstruction surgery are feasible and reduce the rate of postoperative ileus: a preliminary study.Langenbeck's archives of surgery · 2024Trial
- Role of indocyanine green fluorescence angiography in intestinal obstruction with uncertain ischemia: a case report.International journal of surgery case reports · 2026Article
- Predictors of Mortality and Modern Surgical Strategies in Intestinal Obstruction: A 200-Patient Study from a North Indian Tertiary Center.Annals of African medicine · 2026Article
- Evidence-based, cost-effective management of small bowel obstruction: An algorithm of the Journal of Trauma and Acute Care Surgery emergency general surgery algorithms work group.The journal of trauma and acute care surgery · 2025Article
- Management and outcome variability in hernia-related small bowel obstruction: insights from the SnapSBO study.BJS open · 2025Observational
- Machine Learning Approaches for the Prediction of Postoperative Major Complications in Patients Undergoing Surgery for Bowel Obstruction.Journal of personalized medicine · 2024Article
- Operative and non-operative management for intestinal emergencies: findings from a single-centre retrospective cohort study.Annals of the Royal College of Surgeons of England · 2024Article
- Adhesive small bowel obstruction: predictive factors of laparoscopic failure.Updates in surgery · 2024Article
- Trends in emergency colorectal surgery: a 7-year retrospective single-centre cohort study.Surgical endoscopy · 2023Article
- Outcomes of emergency laparoscopy in the elderly.Annals of the Royal College of Surgeons of England · 2022Observational
- P-POSSUM and the NELA Score Overpredict Mortality for Laparoscopic Emergency Bowel Surgery: An Analysis of the NELA Database.World journal of surgery · 2022Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLaparoscopic adhesiolysis is increasingly being used to treat adhesional small bowel obstruction (ASBO) as it has been associated with reduced postoperative length of stay (LOS) and faster recovery. However, concerns regarding limited working space, iatrogenic bowel injury and failure to relieve the obstruction have limited its uptake. This study reports our centre's experience of adopting laparoscopy as the standard operative approach.
methodsA single-centre prospective cohort study was performed incorporating local data from the National Emergency Laparotomy Audit Database; January 2015 to December 2019. All patients undergoing surgery for ASBO were included. Patient demographic, operative and inhospital outcomes data were compared between different surgical approaches. Linear regression analysis was performed for LOS.
resultsA total of 299 cases were identified. Overall, 76.3% of cases were started laparoscopically and 52.2% were completed successfully. Patients treated laparoscopically had lower Portsmouth - Physiological and Operative Severity Score for the enuMeration of Mortality and morbidity (P-POSSUM) predicted mortality (median 2.1 (interquartile range (IQR) 1.3-5.0) vs 5.7 (IQR 2.0-12.4),
conclusionsLaparoscopy is a safe and feasible approach for adhesiolysis in the majority of patients with ASBO. It is associated with reduced LOS with no impact on complications or mortality.
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