Minimally invasive surgery for ileo-colic Crohn's disease

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
R. W MotsonN Gallegos

Abstract

OBJECTIVE: Patients requiring surgery for Crohn's disease are likely to undergo further surgery due to recurrent disease. A prospective study of laparoscopic-assisted surgery for ileo-colic Crohn's disease is reported. METHOD: Forty-one patients (26 female; median age 35 years) with ileo-colic Crohn's disease, without evidence of either fistula or abscess formation underwent laparoscopic-assisted surgery. All had medical therapy, including steroids, but had failed to respond or relapsed. Sixteen patients (39%) had previous surgery for Crohn's disease and 26 (63.4%) had previous abdominal surgery. Laparoscopic procedures (n=42) included ileocaecal/ileocolic resection (n=39), small bowel resection (n=1) and strictureplasty (n=2). RESULTS: The median operating time was 90 min (range 60-180). There were 6 conversions (14.6%). Of the 35 patients whose operation was completed laparoscopically, the median postoperative stay was 5 days (3-9) and the median time to full activity was 20 days (7-49). No major complications or death were recorded. The median follow up (34 out of 35) after surgery is 15.3 months (1-55). Twenty-four patients remain symptom free and 4 have minimal symptoms with no clinical or radiological evidence of recurren...Continue Reading

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Citations

Mar 24, 2007·Diseases of the Colon and Rectum·Jane J Y Tan, Joe J Tjandra
Apr 27, 2004·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Ravi L HuilgolMichael J Solomon
Nov 17, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·R A PintoS D Wexner
Nov 5, 2015·Surgery Today·Kohei ShigetaYuko Kitagawa
Feb 28, 2006·The British Journal of Surgery·N S FearnheadN J McC Mortensen

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