Laparoscopic surgery for inflammatory bowel disease

Abstract

Although STC is a far more extensive procedure than ICR, the overall postoperative complication rate is not significantly different between the two groups; however, we found that there were more intraoperative complications associated with STC.

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

“…[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. intraabdominal abscess and fistula) was an independent factor predicting conversion to open surgery.…”

Postoperative pneumoperitoneum after colorectal surgery: Expectantvssurgical management

“…Could these patients be at a higher risk of developing postoperative pneumoperitoneum? No study answers this question directly; however, it has been shown that patients with inflammatory bowel disease are at a higher risk of postoperative complications [15,16] . One of the possible complications is anastomotic leaks, which in turn, has been shown to be a cause of postoperative pneumoperitoneum [1,15,16] .…”

“…No study answers this question directly; however, it has been shown that patients with inflammatory bowel disease are at a higher risk of postoperative complications [15,16] . One of the possible complications is anastomotic leaks, which in turn, has been shown to be a cause of postoperative pneumoperitoneum [1,15,16] . These patients are at a higher risk for leaks due to their immunosuppressed state and overall inflammatory disease process causing tissue friability and dense adhesions [16] .…”

“…These patients are at a higher risk for leaks due to their immunosuppressed state and overall inflammatory disease process causing tissue friability and dense adhesions [16] . In the year 2000, Hamel et al [16] compared ileocolic vs. subtotal colectomy for inflammatory bowel disease and found that the overall postoperative complication rate was not significantly different between the two groups. However, their study had a small sample size of 109 patients [16] .…”

“…One of the possible complications is anastomotic leaks, which in turn, has been shown to be a cause of postoperative pneumoperitoneum [1,15,16] . These patients are at a higher risk for leaks due to their immunosuppressed state and overall inflammatory disease process causing tissue friability and dense adhesions [16] . In the year 2000, Hamel et al [16] compared ileocolic vs. subtotal colectomy for inflammatory bowel disease and found that the overall postoperative complication rate was not significantly different between the two groups.…”