Imperial College London
Portrait Picture

Mr Christos Kontovounisios

Faculty of Medicine, Department of Surgery & Cancer

Visiting Reader
 
 
 
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Contact

 

+44 (0)20 3315 8529c.kontovounisios

 
 
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Location

 

Chelsea and Westminster HospitalChelsea and Westminster Campus

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Summary

 

Publications

Citation

BibTex format

@article{Kontovounisios:2022:10.3390/jcm11216275,
author = {Kontovounisios, C},
doi = {10.3390/jcm11216275},
journal = {Journal of Clinical Medicine},
pages = {1--8},
title = {Laparoscopic management of acute small bowel obstruction 2 in non-selected patients:  a 10-year experience},
url = {http://dx.doi.org/10.3390/jcm11216275},
volume = {11},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - The laparoscopic approach to the management of small bowel obstruction (SBO) has been associated with reduced length of hospital stay, complications, and mortality. The laparoscopy-first approach has been limited to highly selective cases to date. In this retrospective observational study, we report our 10-year experience and outcomes within a dedicated Emergency Surgery unit that adopted a non-selective approach in the laparoscopic management of SBO. The surgical approach to all patients that underwent surgery for SBO by an experienced Emergency Surgeon, over a period of 10 years, was divided into two groups of open surgery (OS) or laparoscopy-first (LF). Outcomes included length of stay, complications, mortality, readmission rates and reasons for conversion. Data were reviewed to identify patterns of learning. A total of 189 patients were included in the study. A total of 81.5% were managed with an LF approach. Of these, 25.3% required conversion. LF patients had a similar length of stay, lower 30-day readmission rates and wound complications. Reasons for conversion included need for bowel resection, perforation, and malignancy. Our study had a high intention-to-treat LF population and identified major indications for conversion. As our laparoscopic experience increased, conversion rates substantially reduced. We propose that a LF approach is feasible and can benefit from training within dedicated Emergency Surgery teams.
AU  - Kontovounisios,C
DO  - 10.3390/jcm11216275
EP  - 8
PY  - 2022///
SN  - 2077-0383
SP  - 1
TI  - Laparoscopic management of acute small bowel obstruction 2 in non-selected patients:  a 10-year experience
T2  - Journal of Clinical Medicine
UR  - http://dx.doi.org/10.3390/jcm11216275
UR  - https://www.mdpi.com/2077-0383/11/21/6275
UR  - http://hdl.handle.net/10044/1/101151
VL  - 11
ER  -
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