Meta‐analysis of the risk of small bowel obstruction following open or laparoscopic colorectal surgery. BJS 2016; 103: 493-503.
Published: 22nd February 2016
Authors: T. Yamada, K. Okabayashi, H. Hasegawa, M. Tsuruta, J.‐H. Yoo, R. Seishima et al.
One of the potential advantages of laparoscopic compared with open colorectal surgery is a reduction in postoperative bowel obstruction events. Early reports support this proposal, but accumulated evidence is lacking.
A systematic review and meta‐analysis was performed of randomized clinical trials and observational studies by searching the
Twenty‐four randomized clinical trials and 88 observational studies were included in the meta‐analysis; 106 studies reported early outcome and 12 late outcome. Collectively, these studies reported on the outcomes of 148 392 patients, of whom 58 133 had laparoscopic surgery and 90 259 open surgery. Compared with open surgery, laparoscopic surgery was associated with reduced rates of early (odds ratio 0·62, 95 per cent c.i. 0·54 to 0·72;
The reduction in postoperative bowel obstruction demonstrates an advantage of laparoscopic surgery in patients with colorectal disease.Full text
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