Laparoscopically Assisted Ileo-Colonic Resection in Patients with Crohn’s Disease – Preliminary Report

Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 9

Abstract

Despite increasing number of reports indicating good treatment outcomes, laparoscopic treatment of Crohn’s disease remains controversial. The aim of the study was to compare outcomes of laparoscopically assisted and open ileo-colonic resection in patients with active Crohn’s disease. Material and methods. 82 patients who underwent surgical treatment (44 laparoscopic and 38 open procedures) at the Department of General, Oncological and Gastrointestinal Surgery in Warsaw were enrolled to the study. The following perioperative parameters were compared in both these groups: duration of hospitalization and presence of postoperative complications in at least 12 months of follow‑up. Results. The conversion rate in the laparoscopy group was 29.5%. There were no statistically significant differences between the study groups with regard to duration of the surgical procedure, requirement for perioperative transfusions and total number of postoperative complications (19.3% in the laparoscopy group versus 28.9% in the open surgery group). However, amount of analgesic drugs required in the postoperative period was significantly lower (25±6 vs 43±9, p<0.01) and duration of hospitalization was significantly shorter (9.0 vs 11.3 days, p=0.021) after laparoscopic versus open procedures procedures. Most of the patients with complicated Crohn’s disease who were qualified to laparoscopic treatment, underwent successful treatment using this method. Patients in whom conversion was done, were more likely to be on long term preoperative immunosuppressive therapy versus other patients. Conclusions. Laparoscopy is a demanding procedure from the technical point of view, but provides valuable benefits to patients with Crohn’s disease, including those with a complicated disease. However, this method requires ongoing improvement of technical aspects and thorough analysis of failures to identify factors that could accurately select patients with indications and contraindications to this procedure.

Authors and Affiliations

Katarzyna Borycka-Kiciak, Naser Dib, Łukasz Janaszek, Barbara Bukowicka, Wiesław Tarnowski

Keywords

Related Articles

Does abdominal ultrasound is a useful tool in appendicitis diagnosis?

Introduction: Acute appendicitis is the most common acute abdominal illness. Despite diagnosis progress there is still 20% negative appendectomy rate. The aim of the study was to determine the usefulness of abdominal son...

Ropień śledziony z krwawieniem u chorej po pomostowaniu naczyń wieńcowych i cholecystektomii – opis przypadku i przegląd piśmiennictwa

Ropień śledziony może wikłać wiele jednostek chorobowych przebiegających z zakażeniem. Podstawą diagnostyki są badania obrazowe. Leczenie polega na splenektomii i antybiotykoterapii. W przypadku ograniczonych ropni, zwła...

Przedziurawienie wrzodu trawiennego w pierwszej pętli jelita czczego – opis przypadku

Przedziurawienie w obrębie przewodu pokarmowego o etiologii nieurazowej zdarza się najczęściej w dwunastnicy i żołądku (wrzód trawienny) oraz w okrężnicy (zapalnie zmieniony uchyłek, rak, zmiany niedokrwienne). Perforacj...

Relevance of Primitive Carotidobasilar Anastomosis for Internal Carotid Artery Stenosis

Primitive carotido-basilar anastomoses (PCA) are persistent fetal vessels. The aim of the study was to compare the clinical characteristics of patients operated on for internal carotid artery (ICA) stenosis with or witho...

Aspergillosis – Diagnostic And Therapeutic Difficulties In Critically Ill Surgical Patients

Improving the effectiveness of the treatment of critically ill and their longer survival has increased the existence of later complications rarely seen before. Among the hospital-acquired infections such complications in...

Download PDF file
  • EP ID EP74586
  • DOI 10.2478/pjs-2013-0078
  • Views 132
  • Downloads 0

How To Cite

Katarzyna Borycka-Kiciak, Naser Dib, Łukasz Janaszek, Barbara Bukowicka, Wiesław Tarnowski (2013). Laparoscopically Assisted Ileo-Colonic Resection in Patients with Crohn’s Disease – Preliminary Report. Polish Journal of Surgery, 85(9), 505-510. https://europub.co.uk./articles/-A-74586