Laparoscopic-assisted ileocolic resection for Crohn's disease.
Publication/Presentation Date
1-1-2008
Abstract
BACKGROUND: This study reviews our experience with laparoscopic-assisted ileocolic resection in patients with Crohn's disease. The adequacy and safety of this procedure as measured by intraoperative and postoperative complications were evaluated. Special attention was paid to the group in which laparoscopy was not feasible and conversion to laparotomy was necessary.
METHODS: Between 1992 and 2005, 168 laparoscopic-assisted ileocolic resections were performed on 167 patients with Crohn's ileal or ileocolic disease. Follow-up data were complete in 158 patients.
RESULTS: In 38 patients (24%), conversion to laparotomy was necessary. Previous resection was not a predictor of conversion to laparotomy. Average ileal and colonic length of resected specimens was 20.9 cm and 6.5 cm, respectively, in the laparoscopic group, versus 24.9 cm and 10.6 cm in the converted group. Twenty of 120 specimens (16.6%) in the laparoscopic group were found to have margins microscopically positive for active Crohn's disease. None of the 38 specimens in the converted group had positive ileal margins.
CONCLUSIONS: Laparoscopic-assisted ileocolic resection can be safely performed in patients with Crohn's disease ileitis. The finding of positive surgical margins following laparoscopic resections compared with none among conventional resections has to be thoroughly evaluated.
Volume
12
Issue
2
First Page
139
Last Page
142
ISSN
1086-8089
Published In/Presented At
Edden, Y., Ciardullo, J., Sherafgan, K., Harris, M. T., Bub, D. S., Gorfine, S. R., & Bauer, J. J. (2008). Laparoscopic-assisted ileocolic resection for Crohn's disease. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 12(2), 139–142.
Disciplines
Medicine and Health Sciences
PubMedID
18435885
Department(s)
Department of Surgery
Document Type
Article