caa a22 4500 475781562 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900089 doi (NATIONALLICENCE)springer-10.1007/s004649900089 Small bowel obstruction [Elektronische Daten] Laparoscopic approach [F. Agresta, A. Piazza, I. Michelet, N. Bedin, C. Sartori] Background: This is a retrospective review of our experience using a laparoscopic approach in the treatment of acute and chronic small bowel obstruction (SBO). Materials and methods: Of 136 patients hospitalized in our institutions for acute (94 cases: 69.1%) and chronic (42 cases: 30.8%) SBO, from January 1994 to March 1998, 63 (46.3%) were approached laparoscopically. The etiology was accurately diagnosed in 58 cases (92%), and it was possible to treat it laparoscopically in 82.5% (52 of 63 cases). In the remaining 11 cases (17.4%), a formal laparotomy was needed for bowel resection, due to an ischemic small bowel or for malignant disease. Results: Overall, 82.5% of our cases were successfully treated laparoscopically. Conclusions: We conclude that, in experienced hands, laparoscopy is an excellent diagnostic and, in the majority of cases, a therapeutic surgical approach in selected patients with acute or chronic SBO. Springer-Verlag New York Inc., 2000 Key words: Small bowel obstruction — Laparoscopy — Adhesions nationallicence Agresta F. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut Piazza A. Department of General and Laparoscopic Surgery, Hospital 's'sSan Camillo,'' Viale Vittorio Veneto, 18-31100 Treviso, Italy, Italy aut Michelet I. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut Bedin N. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut Sartori C. Department of General and Laparoscopic Surgery, Hospital 's'sSan Camillo,'' Viale Vittorio Veneto, 18-31100 Treviso, Italy, Italy aut Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 154-156 0930-2794 14:2<154 2000 14 464 https://doi.org/10.1007/s004649900089 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900089 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Agresta F. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut NATIONALLICENCE 700 1- Piazza A. Department of General and Laparoscopic Surgery, Hospital 's'sSan Camillo,'' Viale Vittorio Veneto, 18-31100 Treviso, Italy, Italy aut NATIONALLICENCE 700 1- Michelet I. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut NATIONALLICENCE 700 1- Bedin N. Department of Surgery, Civil Hospital, Via Forlanini, 71-31029 Vittorio Veneto (TV), Italy, Italy aut NATIONALLICENCE 700 1- Sartori C. Department of General and Laparoscopic Surgery, Hospital 's'sSan Camillo,'' Viale Vittorio Veneto, 18-31100 Treviso, Italy, Italy aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 154-156 0930-2794 14:2<154 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer