Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

Neumann, Philipp‐Alexander; Rijcken, Emile

doi:10.4292/wjgpt.v7.i2.217

Cited by 18 publications

(7 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The conclusions made by Neumann et al [1] is pertinent as the application of MIS in the treatment of IBD has expanded significantly and become standard practice due to its advantages over open surgery. However, it is important to appreciate the fact that not all cases of IBD are suitable for LCS, particularly complicated and recurrent CD and UC, where combination of open and LCS should be considered for achieving best outcomes.…”

Section: Resultsmentioning

confidence: 98%

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Shrestha

2016

WJGPT

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 98%

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Shrestha

2016

WJGPT

View full text Add to dashboard Cite

show abstract

“…TEMS: Minimally invasive techniques have been one of the major advancements in surgery in the last few decades, and are also one of the future trends. Such a technique has been almost routinely performed in colorectal resection irrespective of underlying diseases[ 38 ]. With the development of surgical instruments, endoscopic surgery is considered a feasible and minimally invasive approach that can facilitate better exposure, direct visualization and precise operation, with an increasing number of surgeons choosing it[ 39 ].…”

Section: Resultsmentioning

confidence: 99%

Minimally invasive endoscopic repair of rectovaginal fistula

Zeng¹,

He²,

Jiang³

et al. 2022

World J Gastrointest Surg

View full text Add to dashboard Cite

BACKGROUND Surgical techniques for repair of rectovaginal fistula (RVF) have been continually developed, but the ideal procedure remains unclear. Endoscopic repair is a novel and minimally invasive technique for RVF repair with increasing reporting. AIM To review the current applications and preliminary outcomes of this technique for RVF repair, aiming to give surgeons an alternative in clinical practice. METHODS Available articles were searched according to the search strategy. And the sample size, fistula etiology, fistula type, endoscopic repair approaches, operative time and hospital stay, follow-up period, complication and life quality assessment were selected for recording and further analysis. RESULTS A total of 11 articles were eventually identified, involving 71 patients with RVFs who had undergone endoscopic repair. The principal causes of RVFs were surgery ( n = 51, 71.8%), followed by obstetrics ( n = 7, 9.8%), inflammatory bowel disease ( n = 5, 7.0%), congenital ( n = 3, 4.2%), trauma ( n = 2, 2.8%), radiation ( n = 1, 1.4%), and in two patients, the cause was unclear. Most fistulas were in a mid or low position. Several endoscopic repair methods were included, namely transanal endoscopic microsurgery, endoscopic clipping, and endoscopic stenting. Most patients underwent > 1-year follow-up, and the success rate was 40%-93%, and all cases reported successful closure. Few complications were mentioned, while postoperative quality of life assessment was only mentioned in one study. CONCLUSION In conclusion, endoscopic repair of RVF is novel, minimally invasive and promising with acceptable preliminary effectiveness. Given its unique advantages, endoscopic repair can be an alternative technique for surgeons.

show abstract

“…At high-volume centers, the majority of surgery in the elective setting is currently being performed using a minimally invasive approach [44]. There are many who advocate for laparoscopic or robotic approaches to these procedures, and much has been written on the advantages of a minimally invasive approach including less intraoperative blood loss, decreased LOS, faster return of bowel function, and improved 30-day outcomes [45][46][47]. A recent metaanalysis comparing robotic to laparoscopic surgery in this setting was inconclusive, finding both to be safe, but that robotic procedures took longer to perform with a nonstatistical trend towards fewer complications [48].…”

Section: Methodsmentioning

confidence: 99%

State-of-the-art surgery for ulcerative colitis

Liu

Eisenstein

2021

Langenbecks Arch Surg

View full text Add to dashboard Cite

Ulcerative colitis (UC) is an autoimmune-mediated colitis which can present in varying degrees of severity and increases the individual’s risk of developing colon cancer. While first-line treatment for UC is medical management, surgical treatment may be necessary in up to 25–30% of patients. With an increasing armamentarium of biologic therapies, patients are presenting for surgery much later in their course, and careful understanding of the complex interplay of the disease, its management, and the patient’s overall health is necessary when considering he appropriate way in which to address their disease surgically. Surgery is generally a total proctocolectomy either with pelvic pouch reconstruction or permanent ileostomy; however, this may need to be spread across multiple procedures given the complexity of the surgery weighed against the overall state of the patient’s health. Minimally invasive surgery, employing either laparoscopic, robotic, or transanal laparoscopic approaches, is currently the preferred approach in the elective setting. There is also some emerging evidence that appendectomy may delay the progression of UC in some individuals. Those who treat these patients surgically must also be familiar with the numerous potential pitfalls of surgical intervention and have plans in place for managing problems such as pouchitis, cuffitis, and anastomotic complications.

show abstract

Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

Cited by 18 publications

References 60 publications

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Minimally invasive surgery for inflammatory bowel disease: Current perspectives

Minimally invasive endoscopic repair of rectovaginal fistula

State-of-the-art surgery for ulcerative colitis

Contact Info

Product

Resources

About