Single Port Laparoscopic Surgery for Complex Crohn's Disease Is Safe with a Lower Conversion Rate

2017 ◽  
Vol 27 (11) ◽  
pp. 1095-1100 ◽  
Author(s):  
Cosimo Alex Leo ◽  
Sanjeev F. Samaranayake ◽  
Pramodh C. Chandrasinghe ◽  
Irshad A. Shaikh ◽  
Jonathan D. Hodgkinson ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease ◽  
Conversion Rate ◽  
Single Port

scholarly journals Single port laparoscopic surgery for patients with complex and recurrent Crohn's disease

2014 ◽  
Vol 8 (9) ◽  
pp. 1055-1061 ◽  
Author(s):  
Mohamed Moftah ◽  
Fady Nazour ◽  
Melanie Cunningham ◽  
Ronan A. Cahill
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease ◽  
Single Port

scholarly journals Laparoscopic Redo Ileocolic Resection for Crohn’s Disease in Patients with Previous Multiple Laparotomies

2018 ◽  
Vol 108 (1) ◽  
pp. 42-48 ◽  
Author(s):  
V. Celentano ◽  
F. Sagias ◽  
K. G. Flashman ◽  
J. Conti ◽  
J. Khan
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease ◽  
Abdominal Surgery ◽  
Conversion Rate ◽  
Operating Time ◽  
Ileocolic Resection ◽  
Short Term ◽  
Previous Abdominal Surgery ◽  
History Of

Purposes: Over 80% of patients with primary ileocolic Crohn’s disease have a surgical resection within 10 years of diagnosis, and 40%–50% of them need further surgery within 15 years. Laparoscopic surgery can be challenging due to a thickened mesentery and the potential for fistulas, abscesses, and phlegmons. Aim of this study is to analyze the short-term outcomes of laparoscopic redo ileocolic resections for Crohn’s disease in patients with previous multiple laparotomies. Methods: All patients undergoing laparoscopic surgery for ileocolic Crohn’s disease from March 2006 to February 2017 were prospectively evaluated. Short term outcomes of laparoscopic ileocolic resection were compared between patients with previous multiple major surgeries and recurrent Crohn’s disease, and patients undergoing surgery for the first presentation of Crohn’s disease and no history of previous surgery. Conversion rate and 30-day morbidity were the primary outcomes. Reoperations, readmissions, operating time and length of stay were the secondary outcomes. Results: 29 patients with recurrent Crohn’s disease and previous multiple laparotomies were included: the number of laparotomies these patients previously underwent was 2 in 19 cases (65.5%), 3 in 9 (31%), and 4 in 1 (3.5%). In total, 90 patients with no history of any previous abdominal surgery, who underwent laparoscopic ileocecal resection for Crohn’s disease, represented the control group. No differences were found in morbidity and conversion rate. Operating time was longer in patients with history of previous abdominal surgery. Conclusion: Laparoscopic redo ileocolic resection for Crohn’s disease is feasible and safe in patients with previous multiple laparotomies at the expense of longer operating time.

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

2016 ◽  
Vol 9 (4) ◽  
pp. 265-269 ◽  
Author(s):  
Tatsuya Manabe ◽  
Takashi Ueki ◽  
Kinuko Nagayoshi ◽  
Taiki Moriyama ◽  
Kosuke Yanai ◽  
...  
Keyword(s):  
Small Intestine ◽  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease

Laparoscopic surgery in Crohn’s disease

1996 ◽  
Vol 10 (12) ◽  
pp. 1201-1204 ◽  
Author(s):  
P. Reissman ◽  
B. A. Salky ◽  
M. Edye ◽  
S. D. Wexner
Keyword(s):  
Crohn’S Disease ◽  
Laparoscopic Surgery ◽  
Crohn's Disease

scholarly journals P336 Minimally invasive surgery is safe and feasible for luminal Crohn’s disease

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S323-S324
Author(s):  
M Nnaji ◽  
Y F Chin ◽  
O Pujji ◽  
B Wilkinson ◽  
S Mohan ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Minimally Invasive Surgery ◽  
Laparoscopic Surgery ◽  
Crohn's Disease ◽  
Open Surgery ◽  
Surgical Intervention ◽  
Laparoscopic Group ◽  
Readmission Rates ◽  
Inflammatory Bowel ◽  
Reoperation Rates

Abstract Background Crohn’s disease (CD) is an inflammatory bowel condition that still requires surgical intervention in about 70% of cases with laparoscopic surgery increasingly becoming the preferred approach. We present our experience in laparoscopic and open surgery for luminal CD in a DGH setting. Methods This was a retrospective analysis of data collected prospectively between 2008 and 2018. All patients with the diagnosis of CD who underwent a surgical intervention for luminal CD were selected and their demographic, clinical and surgical outcomes data analysed. Results 183 patients were identified. 162 (87%) underwent open and 21 (13%) laparoscopic surgery (p < 0.0001). The median age was 48 years (16–82 years) in the open group and 42 years (16–64 years) in the laparoscopic group(p = 0.05). Male:female ratio was 1:1.2 in the open and 1:1 in the laparoscopic groups. Anastomotic leak rates were lower in the laparoscopic group (0% vs. 2.5%, p = 0.3520). Statistically significant lower readmission rates (9.5% in the laparoscopic, 18% in the open groups, p = 0.0255) and reoperation rates (14% in the laparoscopic and 18% in the open groups, p = 0.0108) were noted in the laparoscopic group. Conclusion Laparoscopic surgery is safe in patients requiring surgical intervention for Crohn’s disease with a notable trend towards improved clinical outcomes.

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