Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: Are abscesses, phlegmons, or recurrent disease contraindications?

Wu, Justin S.; Birnbaum, Elisa H.; Kodner, Ira J.; Fry, Robert D.; Read, Thomas E.; Fleshman, James W.

doi:10.1016/s0039-6060(97)90074-x

Cited by 165 publications

(164 citation statements)

References 8 publications

Supporting

Mentioning

137

Contrasting

Unclassified

Order By: Relevance

“…8,26 Several authors have reported fewer complications associated with the laparoscopic approach. [26][27][28] Nevertheless, the nature of complicated CD can render surgery challenging and the technical difficulties encountered are more pronounced with laparoscopic surgery. [29][30][31][32] Penetrating CD (i.e.…”

Section: Discussionmentioning

confidence: 99%

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Zerbib

Koriche

Truant

et al. 2010

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Zerbib

Koriche

Truant

et al. 2010

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

“…Vale citar que apesar do grande número de publicações disponíveis, demonstrando, por exemplo, que as ressecções íleocólicas vídeo-assistidas são factíveis e seguras a factibilidade no tratamento da doença de Crohn, a maioria destas experiências não têm grupo controle ou consiste de ensaios não randomizados 19,20,21,22,23,24,25,26,27,28,29 .…”

Section: Resultados Da Videocirurgia Na Doença De Crohnunclassified

“…Em 1997, Wu e cols 22 demonstraram que abscessos, flegmão e recidivas não são contra-indicações para a cirurgia laparoscópica. Chen e cols 25 demonstraram que o tempo médio até o retorno às atividades parciais é menor nos pacientes com Crohn tratados pela via laparoscópica, quando comparados à via aberta (2,1 ± 1,2 versus 4,4 ± 2,8 semanas; p < 0,0001).…”

Section: Resultados Da Videocirurgia Na Doença De Crohnunclassified

Videocirurgia no manejo da doença de Crohn intestinal

Araújo

Dias

Seid

et al. 2010

Rev bras. colo-proctol.

View full text Add to dashboard Cite

RESUMO: A doença de Crohn é uma moléstia com um amplo espectro de manifestações. Seu tratamento é complexo e freqüentemente os pacientes portadores desta afecção necessitam de intervenções cirúrgicas. Com o surgimento da laparoscopia e sua popularização no tratamento das afecções intestinais, demonstrando resultados superiores ao acesso convencional e quebrando paradigmas como sua utilização no tratamento do câncer colorretal, passou-se a cogitar se esse acesso seria indicado também nas doenças inflamatórias intestinais. Ainda hoje, a utilização desta via de acesso na doença de Crohn é tema controverso. Devido à natureza inflamatória desta patologia, o grau de dificuldade cirúrgico está aumentado e muitas dúvidas persistem: há benefício para o paciente? A taxa de conversão não está exageradamente aumentada? É possível indicar esse acesso em casos complicados? Qual o grupo de pacientes que se beneficia da técnica? Nesta revisão apresentamos os dados mais recentes e as evidências científicas que sustentam a indicação da via de acesso laparoscópica no tratamento cirúrgico da doença de Crohn. Descritores

show abstract

“…Laparoscopic surgery was introduced in UC, and from the 1990s, laparoscopic surgery has been widely used. 12 The laparoscopic technique has cosmetic, functional long term benefits and better quality of life when compared to open surgery. 13 However, compared to the laparoscopic cholecystectomy, the laparoscopic colectomy is more complicated since there are more vessels and structures.…”

Section: Discussionmentioning

confidence: 99%

Operative Outcomes of Open versus Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis in Ulcerative Colitis

Nam

Park

Cho

et al. 2015

J Minim Invasive Surg

View full text Add to dashboard Cite

Purpose: During the course of disease, nearly 30% of ulcerative colitis patients receive surgical therapy. Total proctocolectomy with ileal pouch anal anastomosis is a standard procedure. However, the effectiveness of laparoscopic surgery in ulcerative colitis has not yet been proven. We aimed to evaluate the clinical course of both laparoscopic and open surgeries of a total proctocolectomy with ileal pouch anal anastomosis. Results: Patient characteristics were not significantly different between the two groups. The laparoscopic group had a longer duration of disease before the operation (42.3±48.5 vs. 105±97.6, p=0.019). The operative results, including operation time and estimated blood loss, were not different in both groups. The postoperative outcomes of laparoscopic surgery were not different from those of open surgery in postoperative complications within and after 30 postoperative days. The rate of reoperation and readmission was not different, and the days until first gas passing and soft diet were not significantly different. Methods: Conclusion:Laparoscopic surgery in ulcerative colitis is a feasible and safe procedure. Laparoscopic surgery may provide an alternative approach to open surgery in carefully selected ulcerative colitis patients.

show abstract

Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: Are abscesses, phlegmons, or recurrent disease contraindications?

Cited by 165 publications

References 8 publications

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Pre‐operative management is associated with low rate of post‐operative morbidity in penetrating Crohn’s disease

Videocirurgia no manejo da doença de Crohn intestinal

Operative Outcomes of Open versus Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis in Ulcerative Colitis

Contact Info

Product

Resources

About