Impact of Complex Crohn's Disease on the Outcome of Laparoscopic Ileocecal Resection
- 1 February 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Diseases of the Colon & Rectum
- Vol. 52 (2), 205-210
- https://doi.org/10.1007/dcr.0b013e31819c9c08
Abstract
This prospective study assessed the feasibility of laparoscopic ileocolonic resection for complex Crohn's disease, i.e., recurrence or complication from abscess and/or fistula, and compared postoperative outcomes in patients with and without complex Crohn's disease. Between November 1998 and August 2007, 124 laparoscopic ileocolonic resections were attempted for Crohn's disease: 54 patients with complex Crohn's disease (group I) and 70 patients without complex Crohn's disease (group II). Postoperative mortality and morbidity were compared between group I and group II. Indications for surgery in group I included fistula (43 percent), abscess (30 percent), and recurrent disease after ileocolonic resection (27 percent). Complex Crohn's disease was significantly associated with increased mean (standard deviations) operative time [214 (13) vs. 191(53) minutes, P CONCLUSIONS: This large comparative study suggested that laparoscopic ileocolonic resection for complex Crohn's disease was feasible and safe with good postoperative outcomes. In our experience, complex Crohn's disease does not appear as a contraindication to a laparoscopic approach.Keywords
This publication has 19 references indexed in Scilit:
- Laparoscopic Surgery for Crohn's Disease: A Meta-AnalysisDiseases of the Colon & Rectum, 2007
- Comparison of laparoscopic and open ileocecal resection for Crohn’s disease: a metaanalysisSurgical Endoscopy, 2006
- Avoidance of laparotomy for recurrent disease is a long-term benefit of laparoscopic resection for Crohn's diseaseBritish Journal of Surgery, 2006
- Laparoscopic-Assisted Versus Open Ileocolic Resection for Crohn??s DiseaseAnnals of Surgery, 2006
- Metaanalysis of trials comparing laparoscopic and open surgery for Crohn’s diseaseSurgical Endoscopy, 2005
- Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn's diseaseThe American Journal of Surgery, 2004
- Laparoscopic surgery for recurrent Crohn's diseaseBritish Journal of Surgery, 2003
- Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic crohn's diseaseDiseases of the Colon & Rectum, 2001
- Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn's diseaseBritish Journal of Surgery, 2000
- Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: Are abscesses, phlegmons, or recurrent disease contraindications?Surgery, 1997