Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis

Ali, Usama Ahmed; Keus, Frederik; Heikens, Joost T.; Bemelman, Willem A.; Berdah, Stéphane; Gooszen, Hein G.; Laarhoven, Cees J. H. M. van

doi:10.1002/14651858.cd006267.pub2

Cited by 135 publications

(52 citation statements)

References 70 publications

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“…102 However, a metaanalysis from the Cochrane foundation, including 11 studies and 253 patients who underwent laparoscopic or open IPAA surgery, showed no difference in postoperative mortality or post operative morbidity between the two approaches. 103 Unsurprisingly, this metaanalysis confirmed the shorter time to recovery of bowel function (weighted mean dif ference 1.96 days) and length of stay after laparoscopic approach (weighted mean difference 2.66 days), as compared to the open approach, confirming the trend observed in the comparative studies (studies described in Supplementary Table 3).…”

Section: Postoperative Morbiditysupporting

confidence: 77%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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Surgery is a key feature of IBD management. Up to 70% of patients with Crohn's disease and 35% of patients with ulcerative colitis will require surgery during the course of their disease. This Review provides an overview of IBD surgical management, focusing on the potential benefits and drawbacks of laparoscopy compared with open surgery. Emergency and elective indications for both laparoscopic and open surgery are detailed for patients with ulcerative colitis and Crohn's disease. Evidence-based comparative results of these surgical approaches are discussed, along with factors that influence patient outcomes. Upcoming new techniques for IBD surgical management, including single-port surgery, are also presented.

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Section: Postoperative Morbiditysupporting

confidence: 77%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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“…Other studies describe long-term advantages such as a decreased incidence of adhesive small bowel obstruction and incisional hernia as well as improved cosmesis [7,8,25,26,27]. Long-term results were not the aim of this study.…”

Section: Discussionmentioning

confidence: 89%

Laparoscopic and Open Subtotal Colectomies Have Similar Short-Term Results

Hoogenboom

Bosker

Groen³

et al. 2013

Dig Surg

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Background: Laparoscopic subtotal colectomy (STC) is a complex procedure. It is possible that short-term benefits for segmental resections cannot be attributed to this complex procedure. This study aims to assess differences in short-term results for laparoscopic versus open STC during a 15-year single-institute experience. Methods: We reviewed consecutive patients undergoing laparoscopic or open elective or subacute STC from January 1997 to December 2012. Results: Fifty-six laparoscopic and 50 open STCs were performed. The operation time was significantly longer in the laparoscopic group, median 266 min (range 121-420 min), compared to 153 min (range 90-408 min) in the open group (p < 0.001). Median hospital stay showed no statistical difference, 14 days (range 1-129 days) in the laparoscopic and 13 days (range 1-85 days) in the open group. Between-group postoperative complications were not statistically different. Conclusions: Laparoscopic STC has short-term results similar to the open procedure, except for a longer operation time. The laparoscopic approach for STC is therefore only advisable in selected patients combined with extensive preoperative counseling.

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“…It is now clearly established that it is a technically feasible and safe option with a superior cosmetic result. However, at the present time, there is no evidence of any additional benefit to the patient [7,[26][27][28][29]. In one study laparoscopic IPAA has been shown to result in fewer adhesions to the anterior abdominal wall and the pelvic organs [30].…”

Section: Restorative Proctocolectomy With Ileal Pouch-anal Anastomosismentioning

confidence: 88%