Current status of laparoscopic surgery for patients with Crohn’s disease

Neumann, Philipp‐Alexander; Rijcken, Emile; Bruewer, Matthias

doi:10.1007/s00384-013-1684-y

Cited by 17 publications

(10 citation statements)

References 69 publications

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“…When compared with conventional open surgery, the benefits of laparoscopic surgery have been widely investigated and confirmed in Crohn's disease. [13][14][15][16][17][18] In this study the length of incision of open surgery was much longer than that of laparoscopic surgery 10.31±1.78 vs 5.01±1.24. blood loss (ml) was less in laparoscopic surgery as compare to open surgery.…”

Section: Discussionmentioning

confidence: 55%

Compare the clinical and postoperative outcomes: laparoscopic versus open surgery

Bhandari¹,

Bhandari²

2020

Int Surg J

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Background: To assess the several postoperative complications and clinical outcomes, a retrospective comparison between laparoscopic or open surgery was performed.Methods: We evaluated patients baseline characteristics clinical characteristics, perioperative, intraoperative, inflammatory stress markers and postoperative outcomes between the two groups by univariate analysis.Results: Total 73 patients’ data were included and divided into two groups. 38 patients in first group (laparoscopic surgery) and 35 patients in second group (open surgery). There were no statistically significance differences between gender, age, weight, body mass index and type of surgery of the patients (p>0.05). There was no significant difference between groups in history of infliximab, history of steroid usage, history of appendectomy and perianal disease (p>0.05). There was no significant difference between groups in total protein, albumin, hemoglobin, skeletal muscle mass and soft lean mass. Operative time, length of incision and blood loss was significantly (p<0.001) different in both groups, respectively. Total number of complications was less in the laparoscopic surgery; however, there was no statistically significant difference. Laparoscopic surgery can shorten the hospital stay by around one day. Patients had better postoperative outcomes after laparoscopic surgery than after open surgery. No significant difference was present in edema grades between groups preoperatively. More patients developed slight edema and edema in open surgery than in laparoscopic surgery on postoperative day (POD-3), but not on POD-5.Conclusions: Laparoscopic surgery has more benefits, safe and high-quality care and better postoperative clinical outcomes for all patients compared to open surgery.

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Section: Discussionmentioning

confidence: 55%

Compare the clinical and postoperative outcomes: laparoscopic versus open surgery

Bhandari¹,

Bhandari²

2020

Int Surg J

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“…The present study demonstrated those benefits as well, including reducing intraoperative blood loss and length of incision, speeding postoperative recovery, shortening hospital stay, and reducing surgical-related complications, especially incision-associated complications. Meanwhile, there were still disadvantages for laparoscopic surgery in CD [ 27 ], such as requiring experienced laparoscopic surgeons and skills, increased cost and time, and not being suited for patients with severe complications and intra-abdominal adhesions.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Surgery Can Reduce Postoperative Edema Compared with Open Surgery

Guo

Gong

Cao

et al. 2016

Gastroenterology Research and Practice

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Aim. The study aimed to investigate the impact of laparoscopic surgery and open surgery on postoperative edema in Crohn's disease. Methods. Patients who required enterectomy were divided into open group (Group O) and laparoscopic group (Group L). Edema was measured using bioelectrical impedance analysis preoperatively (PRE) and on postoperative day 3 (POD3) and postoperative day 5 (POD5). The postoperative edema was divided into slight edema and edema by an edema index, defined as the ratio of total extracellular water to total body water. Results. Patients who underwent laparoscopic surgery had better clinical outcomes and lower levels of inflammatory and stress markers. A total of 31 patients (26.05%) developed slight edema and 53 patients (44.54%) developed edema on POD3. More patients developed postoperative edema in Group O than in Group L on POD3 (p = 0.006). The value of the edema index of Group O was higher than that of Group L on POD3 and POD5 (0.402 ± 0.010 versus 0.397 ± 0.008, p = 0.001; 0.401 ± 0.009 versus 0.395 ± 0.007, p = 0.039, resp.). Conclusions. Compared with open surgery, laparoscopic surgery can reduce postoperative edema, which may contribute to the better outcomes of laparoscopic surgery over open surgery.

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“…Application for complex disease remains a controversial topic because complicated anatomy with fistulas or abscesses might make the laparoscopic approach challenging especially for novice laparoscopist. 7 Laparoscopic surgery is favored because it provides benefits such as shorter operative time and better cosmetic results when compared with open surgery. Lower degree of adhesion formation after laparoscopic surgery compared with open surgery 8 could be another beneficial property for complex Crohn's disease patients in the short and long term.…”

Section: Laparoscopic Approachmentioning

confidence: 99%

Minimally Invasive Surgery in Complex Crohn's Disease

Sapcı

Görgün

2019

Clinics in Colon and Rectal Surgery

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Minimally invasive approaches are safe, feasible, and often recommended as the initial choice in the surgical management of Crohn's disease. However, a consensus has not been reached as the ideal approach in the surgical treatment of complex and recurrent Crohn's disease. Laparoscopy may provide advantages such as shorter length of stay and decreased postoperative pain and result in less adhesion formation in patients with complex disease. Robotic techniques may be beneficial in selected patients for completion proctectomy, providing better visualization in the narrow pelvis and increased dexterity. Decision of surgical technique should be made on a case-by-case basis.

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Current status of laparoscopic surgery for patients with Crohn’s disease

Cited by 17 publications

References 69 publications

Compare the clinical and postoperative outcomes: laparoscopic versus open surgery

Compare the clinical and postoperative outcomes: laparoscopic versus open surgery

Laparoscopic Surgery Can Reduce Postoperative Edema Compared with Open Surgery

Minimally Invasive Surgery in Complex Crohn's Disease

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