台灣外科醫學會雜誌

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篇名	Assessment of the risk of bowel obstruction after laparoscopic versus open surgery for rectal cancer: A systematic review
作者	Rajarshi Mitra
卷期/出版年月	57卷4期 (2024/7)
頁次	136-140
摘要	Background: This systematic review aimed to evaluate the incidence of adhesion-related readmissions and surgery for adhesive bowel obstruction (BO) in patients who underwent laparoscopic or open surgery for rectal cancer. Laparoscopic surgery is generally believed to be associated with a lower rate of postoperative adhesion formation compared with open surgery. Materials andMethods: A thorough and systematic search was conducted acrossmultiple comprehensive databases to identify relevant studies for inclusion in this systematic review. The purpose of this search was to ensure a comprehensive and unbiased selection of studies to provide a robust foundation for the subsequent analysis. Result: In this review, a total of 10 studies were involved on BO risk in laparoscopic and open surgery for rectal cancer. This study consistently showed that laparoscopic surgery carried a lower risk of postoperative BO compared with open surgery. Six studies in the review supported this finding. Conclusions: Laparoscopic surgery shows a significant reduction in adhesive BO compared with open surgery, as indicated by this systematic review. However, more well-designed randomized trials involving diverse patients are needed to confirmthese benefits. Further research is necessary to gain a clearer understanding of the advantages of laparoscopic surgery in reducing the risk of BO.
關鍵詞	Bowel obstruction; Laparoscopic surgery; Rectal cancer
分類	Original Article