01930-A: Development of Minimally Invasive Laparoscopic Surgery as a Definitive Diagnostic Tool for Gastrointestinal Obstruction
Grant Status: Closed
The results of this study have shown that using a laparoscope for gastrointestinal exploratory for simple GI foreign bodies is feasible and safe. Organs were accessible for the laparoscopic portion with few exceptions (ileocecolcolic junction, duodenum). The final diagnosis was consistent in all cases between the laparoscopic and open techniques (100% agreement). There were no major complications associated with this technique and there were no emergency conversions to open laparotomy required. The time to complete the laparoscopic procedure was 3 times longer than the open procedure, however, the time improved as the study progressed.
Preoperative advanced imaging (CT scan) is recommended when considering a laparoscopic exploratory. CT scans were able to accurately pinpoint the foreign body location or underlying cause in most cases. This would enable a more focused approach to the exploratory.
Manuscripts in preparation.
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