Laparoscopic Versus Open Ileo-Colonic Resection in Crohn’s Disease: Short- and Long-Term Results from a Prospective Longitudinal Study |
| |
Authors: | Giuseppe S Sica Edoardo Iaculli Domenico Benavoli Livia Biancone Emma Calabrese Sara Onali Achille L Gaspari |
| |
Institution: | (1) Dipartimento di Chirurgia, Unità di Chirurgia Generale, Università di “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy;(2) Dipartimento di Medicina, Unità di Gastroenterologia, Università di “Tor Vergata”, Viale Oxford 81, 00133 Rome, Italy |
| |
Abstract: | Possible relations between surgical approaches, frequency, and severity of Crohn’s disease recurrence after ileo-colonic resection
is unknown. We aimed to assess perioperative outcomes and postsurgical complications of laparoscopic versus standard open
surgery and to detect differences between the two groups in endoscopical recurrence and patients’ satisfaction. Twenty-eight
consecutive patients undergoing elective ileo-colonic resection by either laparoscopic approach (n = 15) or conventional open surgery (n = 13) were prospectively enrolled. No mortality or major intraoperative complications were observed in both groups. Significant
differences between groups were the median operating time found shorter in the open group than in the laparoscopic group (p = 0.003), the higher dosage of pain killers needed in the open group (p = 0.05), the passage of flatus and\or stool after surgery found faster in group A (p = 0.004) and the shorter recovery period in the laparoscopic group (p = 0.007). Colonoscopy was performed in 27 patients. The frequency and pattern of recurrence did not differ between the two
groups (p = 0.63). Patients’ satisfaction was significantly in favor of laparoscopy. Present findings support the feasibility and advantages
in the short-term of laparoscopic ileo-colonic resection in patients with Crohn’s disease. No differences were observed in
terms of frequency, time of onset, and severity of recurrence in a 1-year follow-up. |
| |
Keywords: | Crohn’ s disease surgery Laparoscopic surgery Recurrence Quality of life |
本文献已被 SpringerLink 等数据库收录! |
|