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SAGES 2026 Annual Meeting Emerging Technology Session
March 25-28, 2026 | Tampa, FL, USA
P110
Small Incisions for Small Bowel Injuries: Decreasing Length of Stay and Complications with Minimally Invasive Surgery
Poster Presenter
Authors
Renford Cindass, Madeleine S Schlafly, Sean T Dieffenbaugher, Rita Brintzenhoff, Gaurav Sachdev, Rafael A Torres Fajardo, Lauren A McCarthy, Mackenzie Wood, Kalli A Ross, Allyson Cochran, Robert B Lim, Brent D Matthews, Addison K May, Samuel W Ross
Affiliations
Atrium Health Carolinas Medical Center, Wake Forest School of Medicine
Part of Topic
Acute Care
Small Incisions for Small Bowel Injuries:
Decreasing Length of Stay and Complications with Minimally Invasive Surgery
Background:
•Minimally invasive surgery (MIS) in the setting of trauma has not been widely used since patient selection is crucial
•In hemodynamically stable patients with isolated injury patterns, it can be beneficial
•This study aims to identify trauma patients who underwent MIS and compare mortality and complications to open surgery in a high-risk cohort
Methods:
•A retrospective cohort study was performed on patients undergoing small bowel resections, colon procedures, and gastric perforation repairs at a single level 1 adult and pediatric trauma center
•Our institutional Acute Care Surgery Datamart was screened from January 2022 to August 2025
•Patients were stratified between MIS (laparoscopic or robotic) and open groups
•Propensity matching for sex, race, age, BMI, shock index, and case urgency was performed
•Outcomes were reported as odds ratios (OR) or incidence rate ratios (IRR) with 95% confidence intervals
Results
•MIS had more small bowel procedures (59% vs 87%, p=0.031)
•Open had more colon procedures (62% vs 33%, p=0.029)
•No difference between groups for gastric procedures
•Open was associated with increased length of stay (23.5 vs 10.9 days; IRR 2.10, p=0.017)
•Open procedures associated with lower minimum systolic blood pressure (84.3 vs 98.1, p=0.024)
•Open procedures had more bleeding related (63% vs 33%; OR 10.71, p=0.044), pulmonary (81% vs 67%; OR 24.26, p=0.02), and infectious complications (38% vs 6.7%; OR 11.82, p=0.014)
•Mortality was similar between groups (7.2 vs 0%, p=0.6)
Conclusion
•Diagnostic laparoscopy can be performed on patients with select injury patterns and was most frequently used in patients with small bowel injuries and had a higher incidence of an emergency case classification
•When patients are stable enough to attempt laparoscopic or even robotic exploration, they have fewer associated bleeding, GU, and infectious complications