Laparoscopic Surgery for Crohn's Disease: A Meta-Analysis

Abstract

Laparoscopic surgery for Crohn's disease takes longer to perform, but there are significant short-term benefits to the patient. The morbidity also is lower, and the rate of disease recurrence is similar. Therefore, laparoscopic surgery for Crohn's disease is both safe and feasible.

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

“…8,34,35 According to other authors, the main reasons for conversion were the presence of complex inflammatory masses or fistula. 12,36,37 In conclusion, pre-operative management for penetrating CD allowed decreasing dramatically faecal diversion rate compared with the previously reported rate after ICR for penetrating CD with a low rate of post-operative morbidity. Most patients (64%) received intensive medical therapy including total parenteral nutrition or an elemental diet for more than 2 weeks.…”

“…12 The low rate of temporary diverting stoma (7.7%) is also remarkable. All of them were voluntarily performed in patients with residual abscess at the time of surgery or complex ileo-sigmoid fistula necessitating large sigmoidectomy.…”

Long-term outcome of laparoscopic and open surgery in patients with Crohn’s disease

“…The difference between open and laparoscopic resections was also 2 days in these analyses. 9,10,[29][30][31] This could be due to more severe abdominal trauma, more tissue damage, and prolonged intestinal paralysis in open surgery than that of laparoscopic surgery, which is often cited by other authors.…”

Enhanced Recovery After Surgery (ERAS) Implementation of a Protocol in Laparoscopic Colectomy, Initial Experience in a Single Institution in Argentina

“…In the last two decades, colorectal surgery has made a historical qualitative leap forward with the consolidation of laparoscopic surgery for benign disease, and more recently for malignant [1][2][3][4][5][6][7][8][9]. Soon after the report on the first laparoscopic colectomy, a Danish surgeon called Henrik Kehlet [10] published a small series of patients with colorectal disease operated on with open surgery, achieving an average hospital stay surprisingly similar to the one of laparoscopy.…”