Laparoscopic surgery for recurrent ileocolic Crohn’s disease is as safe and effective as primary resection

Chaudhary, B. N.; Glancy, Damian G.; Dixon, A. R.

doi:10.1111/j.1463-1318.2010.02511.x

Cited by 51 publications

(41 citation statements)

References 29 publications

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“…46 Two later studies compared the results of primary and recurring Crohn's disease managed using a laparoscopic approach, and did not observe any increased morbidity or conversion rate in patients with recurrent disease. 47,48 Whether a laparoscopic approach should be pro posed in patients with recurrent disease, irrespective of the surgical approach used for the index procedure, remains controversial. Indeed, although we reported that a laparoscopic approach did not impair post operative outcomes in patients who had undergone a prior open procedure, 49 Aytac et al 50 suggested that the benefits of a laparoscopic approach in terms of post operative recovery were not maintained in patients after a midline laparotomy.…”

Section: Recurrent Crohn's Diseasementioning

confidence: 99%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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Surgery is a key feature of IBD management. Up to 70% of patients with Crohn's disease and 35% of patients with ulcerative colitis will require surgery during the course of their disease. This Review provides an overview of IBD surgical management, focusing on the potential benefits and drawbacks of laparoscopy compared with open surgery. Emergency and elective indications for both laparoscopic and open surgery are detailed for patients with ulcerative colitis and Crohn's disease. Evidence-based comparative results of these surgical approaches are discussed, along with factors that influence patient outcomes. Upcoming new techniques for IBD surgical management, including single-port surgery, are also presented.

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Section: Recurrent Crohn's Diseasementioning

confidence: 99%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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“…We also employ the technique for Hartmann ' s reversal and selected cases of abdominoperineal excision of rectum [50] . Similarly, we have used the SILS technique for numerous indications, including cancer, complicated diverticular disease, ulcerative colitis, and Crohn ' s disease (including re -dos) [51] . The cohort of cancer patients we have performed SILS for includes all Dukes ' stages A -D and all tumor stages T 1 -T 4b .…”

Section: Single -P Ort L Aparoscopic C Olorectal S Urgerymentioning

confidence: 99%

Single‐Port Surgery

Zorrón

Gash

Dixon

2012

Natural Orifice Translumenal Endoscopic Surgery (NOTES)

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“…These developments and the absolute comparability of the laparoscopic approach in complex patients with Crohn's disease was also shown by several other study groups. [15][16][17][18][19][20][21] Complex cases were defined as fistulous courses with intra-abdominal abscess or fistula and recurrent disease. 15 A meta-analysis of the aforementioned studies has shown that the laparoscopic approach could be performed on patients with fistulous and recurrent disease as well as on patients with prior surgery with potential intra-abdominal adhesions.…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease

Hoffmann¹,

Siebrasse²,

Schlöricke³

et al. 2017

OAS

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Aim:To investigate, via data analysis, the long-term outcome of patients who underwent either laparoscopic or open surgery for Crohn's disease. Methods: A total of 113 patients who had undergone first abdominal surgery due to Crohn's disease between January 2000 and December 2010 in a maximum care provider facility, were included in the statistical analysis. All patients provided their informed consent prior to inclusion. Data were collected from a database. Follow-up data included data from central mortality registries, general practitioners and a specialized clinic. Statistical analysis of the general patient data and the different operations and approaches were performed with the use of chi-square test, Fisher's exact test, and the Mann-Whitney U test. Results: The median follow-up period in case of open and laparoscopic surgery was found to be 9 and 6 years, respectively. Statistically significant differences were observed for the following parameters in case of open and laparoscopic surgery, respectively: age (median=44 vs. 36 years, range=15-76 vs. 15-72 years; p=0.007), urgency of operation (23 out of 34 planned vs. 6 out of 70 planned; p<0.001), year of resection (median=2003 vs. 2006, range=2000-2010 vs. 2000-2010; p=0.001). The length of stay in hospital was significantly shorter in the laparoscopic group than that of open surgery group (8 vs. 11 days, respectively; p<0.0001). We did not control for factors such as age and comorbidities in our statistical analysis. We also did not find any differences with regard to perioperative and 90-day mortality, surgical complications, length of specimen, stoma, surgical recurrence rate (10% in both groups) and number of re-admissions. Moreover, we did not find differences between patients with early operation after first symptoms and patients with long course of disease. A statistically significant difference was found for long-term mortality that was higher in the open surgery group than that of laparoscopic group (p=0.005) (the median for open surgery group was significantly higher than that of laparoscopic group). Conclusion: The outcome of laparoscopic and open surgery is at least comparable. Shorter length of hospital stay and comparable surgical recurrence rates are advantages of laparoscopy.

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Laparoscopic surgery for recurrent ileocolic Crohn’s disease is as safe and effective as primary resection

Abstract: Laparoscopic surgery for recurrent ileocolic Crohn's disease is safe and can lead to significant short-term benefit, including earlier discharge. Conversion increases the length of stay in hospital and the overall morbidity.

Cited by 51 publications

References 29 publications

Surgical management of IBD—from an open to a laparoscopic approach

Surgical management of IBD—from an open to a laparoscopic approach

Single‐Port Surgery

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease

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Laparoscopic surgery for recurrent ileocolic Crohn’s disease is as safe and effective as primary resection

Abstract: Laparoscopic surgery for recurrent ileocolic Crohn's disease is safe and can lead to significant short-term benefit, including earlier discharge. Conversion increases the length of stay in hospital and the overall morbidity.

Cited by 51 publications

References 29 publications

Surgical management of IBD—from an open to a laparoscopic approach

Surgical management of IBD—from an open to a laparoscopic approach

Single‐Port Surgery

Long-term outcome of laparoscopic and open surgery in patients with Crohn&rsquo;s disease

Contact Info

Product

Resources

About

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease