Comparative analysis between laparoscopic (UCL) and open (UCO) technique for the treatment of ulcerative colitis in pediatric patients.

Pediatric Surgery International
P FloresC Fraire

Abstract

The aim of this study is to compare laparoscopic with open approach in the surgical treatment of ulcerative colitis (UC) MATERIAL AND METHODS: Between July 1991 and August 2009, 32 consecutive unselective patients with UC received surgical treatment. The population analyzed was divided into three groups: subtotal colectomy + ileocolostomy (Group 1), proctectomy + ileoanal pouch (Group 2), one-step proctocolectomy + ileoanal pouch (Group 3). We analyzed the mean operating time, postoperative oral intake, use of opiates, the length of hospital stay and postoperative morbidity in each group. Open and laparoscopic approaches were compared in each group retrospectively. In Group 1 the mean operating time was longer for the laparoscopic group (301 vs. 197 min; p < 0.01). The length of postoperative stay was longer for the open group (8 vs. 19 days; p < 0.05) and the oral intake started earlier in the laparoscopic group (3, 5 vs. 6, 2 days; p = 0.05). No significant difference was found in the use of opiates (p = ns). A total of four major complications occurred in the laparoscopic group and another four in the open approach. In Group 2, there was no significant difference in operating time between laparoscopic and open approach. The ...Continue Reading

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Citations

Oct 18, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Renee HuangEdward C Lee
Feb 18, 2014·Journal of Pediatric Surgery·Jigna Sheth, Bruce Jaffray
Apr 22, 2015·Journal of Crohn's & Colitis·G MattioliL Dall'Oglio
Jun 9, 2019·International Journal of Environmental Research and Public Health·Cheng GongLi Ling
Jun 3, 2015·World Journal of Gastroenterology : WJG·Colin T Baillie, Jennifer A Smith
Nov 4, 2015·World Journal of Gastroenterology : WJG·Alessio Pini-PratoGirolamo Mattioli
Mar 9, 2019·Pediatric Surgery International·Ancuta MunteanBrian Terence Sweeney
Jan 23, 2019·Inflammatory Bowel Diseases·Amy L LightnerChristopher Moir

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