Advertisement

Small Bowel Resection, Enterolysis, and Enteroenterostomy

  • Bruce David Schirmer

Abstract

Laparoscopic small bowel resection has been used for essentially all situations for which a small bowel resection might otherwise be done via celiotomy, where circumstances allow the favorable technical performance of the procedure using a laparoscopic approach. Specific indications include:
  1. 1.

    Inflammatory bowel disease (Crohn’s disease)

     
  2. 2.

    Diverticula

     
  3. 3.

    Ischemia or gangrenous segment of bowel

     
  4. 4.

    Obstructing lesions

     
  5. 5.

    Stricture (postradiation, postischemic, etc.)

     
  6. 6.

    Neoplasms (some controversy exists due to the concern about the appropriateness of laparoscopy for maximizing oncologic principles of resection of potentially curable malignant neoplasms, as with current concerns for colon carcinoma; these concerns stem from reports of port site tumor recurrences using this approach)

     

Keywords

Small Bowel Anastomotic Leak Staple Line Anastomotic Stricture Postoperative Ileus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Selected References

  1. Adams S, Wilson T, Brown AR. Laparoscopic management of acute small bowel obstruction. Aust NZ J Surg 1993;63:39–41.CrossRefGoogle Scholar
  2. Duh QY. Laparoscopic procedures for small bowel disease, Baillieres Clin Gastroenterol 1993;7:833–50.PubMedCrossRefGoogle Scholar
  3. Ibrahim IM, Wolodiger F, Sussman B, et al. Laparoscopic management of acute small-bowel obstruction. Surg Endosc 1996;10:1012–5.PubMedCrossRefGoogle Scholar
  4. Lange V, Meyer G, Schardey HM, et al. Different techniques of laparoscopic end-to-end small-bowel anastomoses. Surg Endosc 1995;9:82–7.PubMedGoogle Scholar
  5. Nehzat C, Nezhat F, Ambroze W, Pennington E. Laparoscopic repair of small bowel and colon. A report of 26 cases. Surg Endosc 1993;7:88–9.Google Scholar
  6. Schlinkert RT, Sarr MG, Donohue JH, Thompson GB. General surgical laparoscopic procedures for the “nonlaparologist”. Mayo Clin Proc 1995;70:1142–7.PubMedCrossRefGoogle Scholar
  7. Scoggin SD, Frazee RC, Snyder SK, et al. Laparoscopic-assisted bowel surgery. Dis Colon Rectum 1993;36:747–50.PubMedCrossRefGoogle Scholar
  8. Soper NJ, Brunt LM, Fleshman J Jr, et al. Laparoscopic small bowel resection and anastomosis. Surg Laparosc Endosc 1993;3:6–12.PubMedGoogle Scholar
  9. Waninger J, Salm R, Imdahl A, et al. Comparison of laparoscopic handsewn suture techniques for experimental small-bowel anastomoses. Surg Laparosc Endosc 1996;6:282–9.PubMedCrossRefGoogle Scholar

Copyright information

© Society of American Gastrointestinal Endoscopic Surgeons 1999

Authors and Affiliations

  • Bruce David Schirmer

There are no affiliations available

Personalised recommendations