Single-port laparoscopic management of adhesive small bowel obstruction

Junichiro Hiro, Yasuhiro Inoue, Yoshinaga Okugawa, Aya Kawamoto, Yoshiki Okita, Yuji Toiyama, Koji Tanaka, Keiichi Uchida, Yasuhiko Mohri, Masato Kusunoki

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Abstract: Laparoscopic adhesiolysis has been the focus of much recent attention; however, the role of single-port laparoscopic surgery for adhesive small bowel obstruction remains unclear. We report our experience of performing single-port laparoscopic surgery for adhesive small bowel obstruction through a retrospective review of 15 consecutive patients who underwent single-port laparoscopic surgery for single adhesive small bowel obstruction between 2010 and 2012. We analyzed data on patient demographics, operating time, conversion, and surgical morbidity. Surgery was completed successfully without conversion to laparotomy or the need for additional intraoperative ports in 14 patients, but the remaining patient had peritoneal dissemination from colon cancer. The median operative time was 49 (25-148) min, and the estimated blood loss was 19 (2-182) ml. There were no major postoperative complications. We conclude that single-port laparoscopic surgery is a technically feasible approach for selected patients with adhesive small bowel obstruction when preoperative imaging identifies a single adhesive obstruction.

Original languageEnglish
Pages (from-to)586-590
Number of pages5
JournalSurgery Today
Volume44
Issue number3
DOIs
Publication statusPublished - 03-2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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