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Laparoscopically assisted or open enterolithotomy for gallstone ileus.

Moberg, Ann-Cathrin LU and Montgomery, Agneta LU (2007) In British Journal of Surgery 94(1). p.53-57
Abstract
Background: Gallstone ileus is associated with high morbidity and mortality rates. Enterolithotomy as a single procedure is recommended to minimize complications. The trauma could potentially be reduced further by using a laparoscopic technique. Methods: Thirty-two consecutive patients with gallstone ileus operated by a laparoscopic or open approach between 1992 and 2004 were studied retrospectively. Demographic data, preoperative and postoperative hospital stay, duration of operation, complications and deaths were recorded. Median follow-up after surgery was 36 months. Results: Nineteen laparoscopic procedures, with two conversions, and 13 open operations were performed. The median duration of operation was 60 ruin in the laparoscopic... (More)
Background: Gallstone ileus is associated with high morbidity and mortality rates. Enterolithotomy as a single procedure is recommended to minimize complications. The trauma could potentially be reduced further by using a laparoscopic technique. Methods: Thirty-two consecutive patients with gallstone ileus operated by a laparoscopic or open approach between 1992 and 2004 were studied retrospectively. Demographic data, preoperative and postoperative hospital stay, duration of operation, complications and deaths were recorded. Median follow-up after surgery was 36 months. Results: Nineteen laparoscopic procedures, with two conversions, and 13 open operations were performed. The median duration of operation was 60 ruin in the laparoscopic group and 58 min in the open group (P = 0.675). The median hospital stay was 7 and 10 days, respectively (P = 0.383). There were five minor and one major complications in the laparoscopic group, compared with one and four, respectively, in the open group. There were no deaths within 30 days. Conclusion: The overall morbidity rate was low after both laparoscopic and open enterolithotomy for gallstone ileus, especially in terms of major complications in the laparoscopic group. Laparoscopically assisted enterolithotomy can be recommended for both diagnosis and treatment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
94
issue
1
pages
53 - 57
publisher
John Wiley & Sons
external identifiers
  • wos:000243741300010
  • scopus:33846453250
ISSN
1365-2168
DOI
10.1002/bjs.5537
language
English
LU publication?
yes
id
63e14870-26ad-418f-9ced-77ebe2731fa2 (old id 162198)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17058318&dopt=Abstract
date added to LUP
2007-07-26 14:05:50
date last changed
2017-07-23 03:44:43
@article{63e14870-26ad-418f-9ced-77ebe2731fa2,
  abstract     = {Background: Gallstone ileus is associated with high morbidity and mortality rates. Enterolithotomy as a single procedure is recommended to minimize complications. The trauma could potentially be reduced further by using a laparoscopic technique. Methods: Thirty-two consecutive patients with gallstone ileus operated by a laparoscopic or open approach between 1992 and 2004 were studied retrospectively. Demographic data, preoperative and postoperative hospital stay, duration of operation, complications and deaths were recorded. Median follow-up after surgery was 36 months. Results: Nineteen laparoscopic procedures, with two conversions, and 13 open operations were performed. The median duration of operation was 60 ruin in the laparoscopic group and 58 min in the open group (P = 0.675). The median hospital stay was 7 and 10 days, respectively (P = 0.383). There were five minor and one major complications in the laparoscopic group, compared with one and four, respectively, in the open group. There were no deaths within 30 days. Conclusion: The overall morbidity rate was low after both laparoscopic and open enterolithotomy for gallstone ileus, especially in terms of major complications in the laparoscopic group. Laparoscopically assisted enterolithotomy can be recommended for both diagnosis and treatment.},
  author       = {Moberg, Ann-Cathrin and Montgomery, Agneta},
  issn         = {1365-2168},
  language     = {eng},
  number       = {1},
  pages        = {53--57},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {Laparoscopically assisted or open enterolithotomy for gallstone ileus.},
  url          = {http://dx.doi.org/10.1002/bjs.5537},
  volume       = {94},
  year         = {2007},
}