Comparison of laparoscopic and open ileocecal resection for Crohn’s disease in children

Purpose Ileocecal resection (ICR) is the most frequently performed surgery in paediatric Crohn’s disease (CD) patients. The aim of the study was to compare laparoscopic-assisted and open ICR. Methods Retrospective review of consecutive CD patients undergoing ICR between March 2014 and December 2021...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric surgery international 2023-02, Vol.39 (1), p.140-140, Article 140
Main Authors: Dotlacil, V., Lerchova, T., Coufal, S., Kucerova, B., Schwarz, J., Hradsky, O., Skaba, R., Rygl, M.
Format: Article
Language:English
Subjects:
Abdomen
Body mass index
Catheters
Child
Crohn Disease - surgery
Crohn's disease
Female
Fistula
Hospitalization
Hospitals
Humans
Laparoscopy
Length of stay
Medicine
Medicine & Public Health
Original
Original Article
Patients
Pediatric Surgery
Pediatrics
Postoperative Complications - epidemiology
Software
Surgery
Surgical anastomosis
Variables
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose Ileocecal resection (ICR) is the most frequently performed surgery in paediatric Crohn’s disease (CD) patients. The aim of the study was to compare laparoscopic-assisted and open ICR. Methods Retrospective review of consecutive CD patients undergoing ICR between March 2014 and December 2021 was performed. The patients were divided into open (OG) and laparoscopic (LG) groups. Compared parameters included patients’ demographics, clinical characteristics, surgery, duration of hospitalisation and follow-up. Complications were classified according to the Clavien–Dindo classification (CDc). Risk factors were identified using multivariable analysis. Results Sixty-two patients (29 females, 46.7%) were included in the analysis, forty-two patients in OG. The median duration of surgery was 130 in OG versus 148 in LG ( p  = 0.065) minutes. Postoperative complications were reported in 4 patients (12.1%). There was no significant difference in postoperative complications according to CDc (OG 7.14 vs LG 5%, p  = 1). The median length of hospitalisation was 8 in OG and 7 days in LG ( p  = 0.0005). The median length of follow-up was 21.5 months. Conclusion The laparoscopic-assisted approach had shorter hospital stay and was not associated with increased risk of 30-day postoperative complications. Laparoscopic surgery should be considered the preferred surgical approach for primary ICR.
ISSN:1437-9813
0179-0358
1437-9813
DOI:10.1007/s00383-023-05419-9