| Title: |
SP5.8 Laparoscopy for small bowel obstruction improves outcomes |
| Authors: |
Finch, Louise; Eid, Joana; Mercer, Stuart |
| Source: |
British Journal of Surgery ; volume 110, issue Supplement_6 ; ISSN 0007-1323 1365-2168 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2023 |
| Description: |
Aims Adhesional small bowel obstruction is the commonest cause of emergency general surgery. Fewer than 20% of cases are started laparoscopically, but there is huge variability across the country from 80% in some units to 0% in others. This study examines whether the laparoscopic approach reduces length of stay and mortality. Methods The national NELA database was interrogated to identify patients operated for small bowel obstruction due to adhesions. Post-operative length of stay and mortality were analysed according to surgical approach. Results 20,597 patients with small bowel obstruction due to adhesions were identified; overall 30-day mortality was 6.2%. 3870 of these 20,597 cases (18.5%) were started laparoscopically. Mortality in this group was 3.2% compared with 7.0% in the laparotomy group. This association was also demonstrated in patients with predicted mortality |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/bjs/znad241.060 |
| Availability: |
https://doi.org/10.1093/bjs/znad241.060; https://academic.oup.com/bjs/article-pdf/110/Supplement_6/znad241.060/51302008/znad241.060.pdf |
| Rights: |
https://academic.oup.com/pages/standard-publication-reuse-rights |
| Accession Number: |
edsbas.1659D2FC |
| Database: |
BASE |