کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278130 1611481 2016 13 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
A systematic review comparing laparoscopic vs open adhesiolysis in patients with adhesional small bowel obstruction
ترجمه فارسی عنوان
یک بررسی سیستماتیک در مقایسه با لاپاروسکوپی در مقابل چسبندگی باز در بیماران مبتلا به انسداد روده کوچک چسبنده
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

Background and objectiveTo evaluate whether surgical outcomes differ between laparoscopic vs open approach for adhesiolysis in patients presenting with adhesional small bowel obstruction (ASBO).Data sourceA systematic review of literature on published studies reporting the surgical outcomes after laparoscopic vs open adhesiolysis for ASBO was undertaken using the principles of meta-analysis.ResultsFourteen comparative studies on 38,057 patients, evaluating the surgical outcomes in patients undergoing laparoscopic vs open adhesiolysis for ASBO were analyzed. Laparoscopic adhesiolysis resulted in the reduced risk of morbidity (P < .00001), mortality (P < .0001), and surgical infections (P = .003). In addition, the risk of respiratory complications, cardiac complications, bowel resection, and venous thromboembolism was lower with shorter hospitalization in laparoscopic adhesiolysis group. However, statistical equivalence was seen in variables of duration of operation and iatrogenic enterotomies.ConclusionsLaparoscopic adhesiolysis for ASBO seems to have clinically proven advantage over open approach.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 212, Issue 1, July 2016, Pages 138–150
نویسندگان
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