Appendix, Gallbladder and Surgical Emergencies · 13 February 2026

Laparoscopic Surgery Reduces Complications for Strangulated SBO

Laparoscopic surgery may significantly lower postoperative complications in patients with strangulated small bowel obstruction (SSBO).

Complications (Clavien-Dindo grade ≥ II) were 7.4% with laparoscopy versus 29.6% for open surgery (p = 0.036).
Conversion to open surgery occurred in 25.6% of laparoscopic cases, primarily in those with prior laparotomies or gastrointestinal surgeries.

Surgeons should consider laparoscopic approaches but assess patient history carefully to anticipate the need for conversion.

Journal Article by Kobayashi T, Suda R (…) Kawachi S et 15 al. in World J Surg

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