{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T17:52:01Z","timestamp":1784656321717,"version":"3.55.0"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2003,7,3]],"date-time":"2003-07-03T00:00:00Z","timestamp":1057190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,8,20]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although laparoscopy may be associated with fewer intra-abdominal adhesions and quicker recovery of bowel function, it remains unclear whether patients with acute small bowel obstruction (SBO) might benefit from laparoscopic techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The results of patients with acute SBO treated laparoscopically (LAP; n = 52) and conventionally (CONV; n = 52) were compared in a retrospective matched-pair analysis. Conversions were included in the laparoscopic group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Complete laparoscopic treatment was performed in 25 patients (48\u00b71 per cent). Major intraoperative complications occurred in 15 patients in the LAP group and eight in the CONV group (P = 0\u00b7156). Intraoperative perforations were more frequent in patients who had undergone more than one previous laparotomy (P = 0\u00b7066). Postoperative complications occurred in ten patients (19\u00b72 per cent) in the LAP group and in 21 patients (40\u00b74 per cent) who had conventional surgery (P = 0\u00b7032). Bowel movements started 3\u00b75 days after operation in the LAP group and 4\u00b74 days after conventional operation (P = 0\u00b7001). The length of hospital stay was 11\u00b73 and 18\u00b71 days respectively (P &amp;lt; 0\u00b7001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic treatment of acute SBO was feasible in about half of these patients. Postoperative recovery was improved after laparoscopic procedures but the risk of intraoperative complications increased. A laparoscopic approach seems justified in a subset of patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/bjs.4177","type":"journal-article","created":{"date-parts":[[2003,8,25]],"date-time":"2003-08-25T13:11:02Z","timestamp":1061817062000},"page":"1147-1151","source":"Crossref","is-referenced-by-count":136,"title":["Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction"],"prefix":"10.1093","volume":"90","author":[{"given":"C","family":"Wullstein","sequence":"first","affiliation":[{"name":"Chirurgische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Gross","sequence":"additional","affiliation":[{"name":"Chirurgische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2003,7,3]]},"reference":[{"key":"2021070911364894500_bib1","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1007\/s004649900638","article-title":"Efficacy of routine laparoscopy for the acute abdomen","volume":"12","author":"Chung","year":"1998","journal-title":"Surg Endosc"},{"key":"2021070911364894500_bib2","doi-asserted-by":"crossref","first-page":"62","DOI":"10.3109\/00365529509107764","article-title":"Laparoscopy for abdominal emergencies","volume":"30","author":"Larson","year":"1995","journal-title":"Scand J Gastroenterol"},{"key":"2021070911364894500_bib3","doi-asserted-by":"crossref","first-page":"1700","DOI":"10.1007\/BF02234393","article-title":"Results of laparoscopic vs conventional appendectomy in complicated appendicitis","volume":"44","author":"Wullstein","year":"2001","journal-title":"Dis Colon Rectum"},{"key":"2021070911364894500_bib4","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1007\/BF00591051","article-title":"Laparoscopic adhesiolysis","volume":"8","author":"Freys","year":"1994","journal-title":"Surg Endosc"},{"key":"2021070911364894500_bib5","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1007\/BF00768879","article-title":"Laparoscopic surgery for intestinal obstruction","volume":"9","author":"Reissman","year":"1995","journal-title":"Surg Endosc"},{"key":"2021070911364894500_bib6","first-page":"616","article-title":"Laparoskopische eingriffe bei voroperierten patienten","volume":"65","author":"Freys","year":"1994","journal-title":"Chirurg"},{"key":"2021070911364894500_bib7","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/s004649901075","article-title":"Is laparoscopy safe for treatment of acute small-bowel obstruction?","volume":"13","author":"Strickland","year":"1999","journal-title":"Surg Endosc"},{"key":"2021070911364894500_bib8","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s004649900887","article-title":"Adhesion formation is reduced after laparoscopic surgery","volume":"13","author":"Garrard","year":"1999","journal-title":"Surg Endosc"},{"key":"2021070911364894500_bib9","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1097\/00019509-199604000-00009","article-title":"Adhesion formation after laparoscopic anterior resection in a porcine model: a pilot study","volume":"6","author":"Reissman","year":"1996","journal-title":"Surg Laparosc Endosc"},{"key":"2021070911364894500_bib10","first-page":"95","article-title":"Laparoskopie versus laparotomies. 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