BACKGROUND: Laparotomy for bowel resection is causally related to the development of @entity4037 , with incidences approaching 12% to 15% each. This report attempts to define the incidence of these access-related complications in a large group of @entity1 undergoing laparoscopic-assisted bowel resection (LABR) and open bowel @entity7441 ( @entity7441 ). STUDY DESIGN: A retrospective cohort of 716 consecutive @entity1 undergoing either LABR (n = 211) or @entity7441 (n = 505) procedures between January 1995 and July 2000 was identified and selected from a prospective registry. RESULTS: Index LABR (n = 211) and @entity7441 (n = 505) cases included segmental colectomy in 146 LABR and 408 @entity7441 @entity1 ; subtotal colectomy with or without stoma in 18 LABR and 6 @entity7441 @entity1 ; ileocolectomy in 37 LABR and 85 @entity7441 @entity1 ; and small bowel resection in 10 LABR and 6 @entity7441 @entity1 . The mean followup periods in the LABR and @entity7441 groups were 2.71 years and 2.42 years, respectively. The incidence of wound @entity547 was significantly higher in @entity7441 cases (n = 65) compared with LABR (n = 5) (p < 0.05). The incidence of surgical repair of @entity4037 was also significantly higher in the @entity7441 group (28) compared with LABR (4) (p < 0.05). Postoperative @entity1744 requiring hospitalization with conservative management occurred significantly less frequently in LABR @entity1 (n = 4) compared with @entity7441 @entity1 (n = 31) (p = 0.016). The need for surgical release of @entity1744 was similar between the @entity7441 and LABR groups (n = 4 versus n = 11). The overall reoperation rate for these two complications was two times higher in the @entity7441 group than in the LABR group (7.7% versus 3.8%). CONCLUSIONS: The data demonstrate that laparoscopic access for bowel @entity7441 significantly reduces the incidence of @entity4037 and @entity1744 rates compared with laparotomy. This reduces the need for readmission to the hospital and additional surgical procedures, providing a potential source of decreased morbidity. It should be considered as a means of cost savings associated with laparoscopic bowel operations.

Does means of access affect the incidence of XXXX and @entity4037 after bowel resection? Laparoscopy versus laparotomy.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity547 :: ('MESH:D006547', 'Disease') :: ['hernia'] @entity7441 :: ('MESH:D056987', 'Disease') :: ['OPEN', 'operation'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['SBO'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia', 'small bowel obstruction (SBO) and ventral hernia']
@entity1744 :: (MESH:D043183,Disease) :: ['small bowel obstruction']
