Laparoscopically assisted ileocolectomy in patients with Crohn’s disease: a study of 50 consecutive patients

Vangeenberghe, Nathalie; Vogelaere, Kristel De; Haentjens, Patrick; Delvaux, Georges

doi:10.1007/s00464-008-0232-2

Cited by 9 publications

(2 citation statements)

References 19 publications

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“…Other early prospective studies comparing laparoscopic assisted with open ileocecectomies in this patient population have yielded similar results. [7][8][9][10] More recent series evaluating laparoscopic ileocolic resection have reflected an increasing comfort of surgeons with laparoscopic surgery. Chaudhary and colleagues 11 reported on 29 patient undergoing primary laparoscopic resection of ileocolic Crohn's disease and found a mean operative time 85 minutes with a mean length of stay of three days.…”

Section: Discussionmentioning

confidence: 99%

Transverse Incisions for Resection of Ileocolic Crohn's Disease

Campbell

Paull

Thirlby

2013

The American Surgeon™

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Laparoscopic ileocecectomy is advocated as the ideal surgical approach for ileocecal Crohn's disease. Our experience suggests that equivalent outcomes are accomplished through a small right lower quadrant (RLQ) transverse incision in this patient population. We conducted a retrospective chart review of 39 patients undergoing ileocectomy for Crohn's disease using a RLQ transverse incision between 1991 and 2009. The mean operative time was 99 minutes with a mean length of hospital stay of 4.2 days and mean duration until return of bowel function of 2.9 days. There were no deaths or major complications. Long-term follow-up revealed four patients (13%) who required hospitalization for small bowel obstructions, one patient (3%) developed an incisional hernia, and no patients required an ileostomy. Ileocecectomy performed for Crohn's disease using a RLQ transverse incision yielded similar hospital lengths of stay and time to return of bowel function as those published for laparoscopic resection. This approach may result in shorter operative times when compared with the inexperienced surgeon performing a laparoscopic resection. Long-term follow-up revealed the risk for future RLQ ileostomy is low and the development of hernias or bowel obstruction is unlikely.

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