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Laparoscopic Ileocolectomy Safe And Effective For Primary Crohn Disease
A DGReview of :"Laparoscopic vs Conventional Ileocolectomy for Primary Crohn Disease"
Archives of Surgery
02/27/2003
By James Adams
Laparoscopic-assisted ileocolectomy for primary Crohn disease of the terminal ileum or caecum is safe and successful in most cases.
It should be considered as the preferred operative approach for primary resections, according to investigators from the Department of General Surgery and Colorectal Surgery at the University of Alabama School of Medicine in Birmingham, United States.
The investigators conducted a retrospective analysis comparing 20 patients who underwent the laparoscopic procedure and 20 patients who underwent conventional surgery for Crohn disease. Mean operating time was 145 minutes in the laparoscopic surgery group and 133.5 minutes in the conventional surgery group.
Morbidity was 5% in the conventional surgery group. There were no deaths in either group. Blood loss in the laparoscopic group was a mean 77.2 millilitres, which was significantly lower than the mean 265.5 millilitres lost in the conventional surgery group. The mean length of incision was also significantly lower in the laparoscopic surgery group.
Bowel function, based on the return of bowel movements and resumption of a regular diet, occurred more quickly in the laparoscopic surgery patients. The mean length of hospital stay was 4.25 days in laparoscopic surgery group compared with 8.25 days in the conventional surgery group.
Use of the laparoscopic technique also resulted in significantly lower hospital charges compared with conventional surgery.
Arch Surg 2003;138:1:76-79.
"Laparoscopic vs Conventional Ileocolectomy for Primary Crohn Disease"
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