کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279700 1611525 2012 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Laparoscopic versus open adhesiolysis in patients with adhesive small bowel obstruction: a systematic review and meta-analysis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Laparoscopic versus open adhesiolysis in patients with adhesive small bowel obstruction: a systematic review and meta-analysis
چکیده انگلیسی

BackgroundThe objective of this study was to evaluate whether surgical outcomes differ between laparoscopy versus the open approach for adhesive small bowel obstruction.MethodsPubMed, MEDLINE, Embase, and the Cochrane Library databases were electronically searched from 1985 to 2010. The study pooled the effects of outcomes of a total of 334 patients enrolled into 4 retrospective comparative studies using meta-analytic methods.ResultsLaparoscopic adhesiolysis was associated with a reduced overall complication rate (odds ratio = .42, .25–.70, P < .01), prolonged ileus rate (odds ratio = .28, .10–.73, P = .01) and pulmonary complication rate (odds ratio = .20, .04–.94, P = .04) compared with the open approach. No significant differences were noted for intraoperative injury to bowel rates (odds ratio = 1.93, .76–4.89, P = .17), wound infection rates (odds ratio = .44, .17–1.12, P = .08), and mortality (odds ratio = .81, .12–5.49, P = .83).ConclusionsLaparoscopic adhesiolysis is advantageous in most of the analyzed outcomes. Laparoscopic treatment of small bowel obstruction is recommended by experienced laparoscopic surgeons in selected patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 204, Issue 5, November 2012, Pages 779–786
نویسندگان
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