RETROSPECTIVE STUDY OF THE LAPAROSCOPIC APPROACH TO SMALL BOWEL OBSTRUCTION

Abstract Introduction Exploratory laparotomy has classically been the treatment for adhesive small bowel obstruction (ASBO). Laparoscopic approaches have proven to be a beneficial technique in selected patients. Despite being minimally invasive and associated with low morbidity it is still not widespread technique. Methods Descriptive, retrospective study from January 2011 April 2022, of 43 patients ASBO operated by laparoscopy tertiary hospital. Demographic, surgical evolutionary variables were analysed. Descriptive statistics using non-parametric tests. Univariate logistic regression. Results The median age was 67 years (44–77.5), 65% women 63.3% had previous surgery. In CT (93%) mean loop dilatation 37.2±6mm reported as single band 62.7%. Time surgery <24h 51.1% operative time 85±48 minutes. 74.1% AAST classification (The American Association Surgery Trauma) ≤II, conversion rate 27.9% 3 suffered iatrogenesis. After 43% oral tolerance <48h postoperative stay 6 days. Median follow-up 48.7 months 6.9% reoperation, 4.6% readmission, Clavien-Dindo <1 70% no deaths. There relation (p<.05) between conversion-AAST grading ≤II (OR 0.33) conversion-surgical 1.02). Conclusions Laparoscopy safe approach OIB our setting. Our series reflects effective results, prolonged follow-up, readmission open similar series, only an association degree obstruction.