2018
DOI: 10.1016/j.dld.2018.05.009
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Totally laparoscopic, multi-stage, restorative proctocolectomy for inflammatory bowel diseases. A prospective study on safety, efficacy and long-term results

Abstract: A totally laparoscopic approach is safe and feasible, with very low mortality and morbidity rates and very low conversion rate, even in multi-stage procedures and high-risk patients.

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Cited by 19 publications
(20 citation statements)
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“…In comparison to most reported series in UC surgery, we had a very high laparoscopic rate (86% of SCo from 2008) [ 11 , 39 , 47 , 48 ]; while usually more than half of SCo are still performed by an open approach, as recently confirmed by large databases [ 49 , 50 ]. On the contrary, the conversion rate was quite low (1.1%), especially considering that reported conversion rate in trials and observational studies ranges from 1 to 23% [ 8 , 24 , 39 , 45 , 51 , 52 , 53 , 54 ], and that conversion rate after laparoscopic cholecystectomy, the most popular laparoscopic procedure, is reported to be 5–10% [ 55 ].…”
Section: Discussionmentioning
confidence: 67%
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“…In comparison to most reported series in UC surgery, we had a very high laparoscopic rate (86% of SCo from 2008) [ 11 , 39 , 47 , 48 ]; while usually more than half of SCo are still performed by an open approach, as recently confirmed by large databases [ 49 , 50 ]. On the contrary, the conversion rate was quite low (1.1%), especially considering that reported conversion rate in trials and observational studies ranges from 1 to 23% [ 8 , 24 , 39 , 45 , 51 , 52 , 53 , 54 ], and that conversion rate after laparoscopic cholecystectomy, the most popular laparoscopic procedure, is reported to be 5–10% [ 55 ].…”
Section: Discussionmentioning
confidence: 67%
“…Postoperative complications were classified according to Clavien-Dindo classification [ 34 ], in terms of maximum complication for patients developed during their hospital stay and within 90 days from surgery. Patients receiving total parenteral nutrition (TPN) or blood transfusion in the contest of a scheduled perioperative optimization were not considered as Clavien-Dindo grade II complications in the final analysis [ 11 ]. Severe postoperative morbidity was defined as any complication graded III or IV.…”
Section: Methodsmentioning
confidence: 99%
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“…Вопрос общего состояния, наличия сопутствующей патологии при хирургическом лечении ЯК стоит довольно остро. Определенные предвходя- [12]. Сама технология лапароскопических вмешательств также довольно быстро прогрессирует.…”
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