Outcomes of a Laparoscopic-First Approach for a Strangulated Small Bowel Obstruction: A 12-Year Single-Center Experience

A laparoscopic-first approach for selected patients with strangulated SBO is a feasible and safe strategy when performed with a low threshold for conversion. Favorable short-term outcomes with low morbidity can be achieved, even in an elderly cohort requiring a high rate of bowel resection. Prudent patient selection and experienced surgical judgment are paramount to the success of this approach.

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Publication Details

Journal
Cureus
Published
2025-11-14
DOI
https://doi.org/10.7759/cureus.96876
Primary Topic
Intestinal and Peritoneal Adhesions
Type
article
Field-Weighted Citation Impact
0.00
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article

Outcomes of a Laparoscopic-First Approach for a Strangulated Small Bowel Obstruction: A 12-Year Single-Center Experience

Shin Shinyama, Takatomo Yamayoshi, Hideo Kidogawa, Takashi Okimoto et al.
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Outcomes of a Laparoscopic-First Approach for a Strangulated Small Bowel Obstruction: A 12-Year Single-Center Experience

Shin Shinyama, Takatomo Yamayoshi, Hideo Kidogawa, Takashi Okimoto, Toshihito Uehara, Kohji Okamoto, T. Konno, Tetsuya Tagami, Nobutaka Matayoshi, J Noguchi
article en

Abstract

A laparoscopic-first approach for selected patients with strangulated SBO is a feasible and safe strategy when performed with a low threshold for conversion. Favorable short-term outcomes with low morbidity can be achieved, even in an elderly cohort requiring a high rate of bowel resection. Prudent patient selection and experienced surgical judgment are paramount to the success of this approach.

CureusVol. 17(11)
Kitakyushu City Hospital Organization (JP)
Openalex Percentile: Top 47%
Intestinal and Peritoneal Adhesions
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Outcomes of a Laparoscopic-First Approach for a Strangulated Small Bowel Obstruction: A 12-Year Single-Center Experience — Shin Shinyama, Takatomo Yamayoshi, et al. · Cureus (2025) | TGRS Research Map | TGRS