Feasibility of laparoscopic surgery for complex Crohn's disease of the small intestine

Background The laparoscopic approach for complex Crohn's disease (CD), which involves abscess formation, fistula formation, and recurrent CD, is controversial. The aim of this study was to investigate the feasibility and safety of the laparoscopic approach for complex CD. Methods Fifty‐six pati...

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Bibliographic Details
Published in:Asian journal of endoscopic surgery 2016-11, Vol.9 (4), p.265-269
Main Authors: Manabe, Tatsuya, Ueki, Takashi, Nagayoshi, Kinuko, Moriyama, Taiki, Yanai, Kosuke, Nagai, Shuntaro, Esaki, Motohiro, Nakamura, Kazuhiko, Nakamura, Masafumi
Format: Article
Language:English
Subjects:
Adult
Aged
Complex Crohn's disease
cosmesis
Crohn Disease - pathology
Crohn Disease - surgery
Crohn's disease
Feasibility Studies
Female
Humans
Intestine, Small
laparoscopic surgery
Laparoscopy
Length of Stay
Male
Middle Aged
Operative Time
Postoperative Complications
Retrospective Studies
Small intestine
Surgical outcomes
Time Factors
Treatment Outcome
Young Adult
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Summary:Background The laparoscopic approach for complex Crohn's disease (CD), which involves abscess formation, fistula formation, and recurrent CD, is controversial. The aim of this study was to investigate the feasibility and safety of the laparoscopic approach for complex CD. Methods Fifty‐six patients who had undergone surgery for CD of the small bowel from January 2007 to August 2014 were divided into two groups: the laparoscopic approach for complex CD group (LC group, n = 31) and the laparoscopic approach for simple CD group (LS group, n = 25). The preoperative data and surgical outcomes of the LC group were compared with those of the LS groups. Results There were no significant differences in preoperative data and operating time between the two groups. Blood loss was not significantly different between the LC and LS groups. The incision length was longer in the LC group than the LS group (P = 0.004). The incidence of severe postoperative complications in the LC group was higher than in the LS group (P = 0.026). The length of postoperative stay was similar in the LC and LS groups. Conclusions The laparoscopic approach for complex CD is feasible and provides good cosmesis that is comparable to that offered by simple CD.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.12287