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Laparoscopic resection for recurrent Crohn's disease: safety, feasibility and short-term outcomes

Laparoscopic resection for recurrent Crohn's disease: safety, feasibility and short-term outcomes
Laparoscopic resection for recurrent Crohn's disease: safety, feasibility and short-term outcomes
Aim: the safety, feasibility and short-term outcome of laparoscopic resection were assessed in patients with recurrent ileocolic Crohn's disease.

Method: a consecutive series of patients was identified from a prospectively collated database. Data included patient demographics, previous medical and surgical treatment, operative details and postoperative course. Data from the original index open operation were collected retrospectively by review of the case notes.

Results: between 2005 and 2009, 27 patients (21 women, mean (range) age 31 years (16 - 51 years) underwent laparoscopic resection for recurrent ileocolic Crohn's disease. All had histologically confirmed recurrent disease at the ileocolic anastomosis. Five (18.5%) patients required extended resection for Crohn's colitis, three (11.1%) had fistulating disease and one (3.4%) patient had a psoas abscess. The median (range) operative time was 110 mins (70-170) with a conversion rate of 2/27 patients (7.4%). The length of stay was 4 days (2-7) with time to return to work or full activity of 3.5 (2-7) weeks.

Conclusion: laparoscopic resection of recurrent ileocolic Crohn's disease is safe, feasible and associated with short-term benefits
161-65
Bandyopadhyay, D.
07b81af1-acb4-4107-9b72-103dd363f60d
Sagar, P.M.
730ff76f-5ae9-4d17-a4f8-f2bd18012b85
Mirnezami, A.
b3c7aee7-46a4-404c-bfe3-f72388e0bc94
Lengyel, J.
bd8659c2-020e-4703-a450-1cf5505584c3
Morrison, C.
fa62d65f-cba3-4b4b-a0fa-4a2cff256e8e
Gatt, M.
372e81b8-8302-4d75-9147-fa9fc49753c0
Bandyopadhyay, D.
07b81af1-acb4-4107-9b72-103dd363f60d
Sagar, P.M.
730ff76f-5ae9-4d17-a4f8-f2bd18012b85
Mirnezami, A.
b3c7aee7-46a4-404c-bfe3-f72388e0bc94
Lengyel, J.
bd8659c2-020e-4703-a450-1cf5505584c3
Morrison, C.
fa62d65f-cba3-4b4b-a0fa-4a2cff256e8e
Gatt, M.
372e81b8-8302-4d75-9147-fa9fc49753c0

Bandyopadhyay, D., Sagar, P.M., Mirnezami, A., Lengyel, J., Morrison, C. and Gatt, M. (2009) Laparoscopic resection for recurrent Crohn's disease: safety, feasibility and short-term outcomes. Colorectal Disease, 13 (2), 161-65. (doi:10.1111/j.1463-1318.2009.02100.x).

Record type: Article

Abstract

Aim: the safety, feasibility and short-term outcome of laparoscopic resection were assessed in patients with recurrent ileocolic Crohn's disease.

Method: a consecutive series of patients was identified from a prospectively collated database. Data included patient demographics, previous medical and surgical treatment, operative details and postoperative course. Data from the original index open operation were collected retrospectively by review of the case notes.

Results: between 2005 and 2009, 27 patients (21 women, mean (range) age 31 years (16 - 51 years) underwent laparoscopic resection for recurrent ileocolic Crohn's disease. All had histologically confirmed recurrent disease at the ileocolic anastomosis. Five (18.5%) patients required extended resection for Crohn's colitis, three (11.1%) had fistulating disease and one (3.4%) patient had a psoas abscess. The median (range) operative time was 110 mins (70-170) with a conversion rate of 2/27 patients (7.4%). The length of stay was 4 days (2-7) with time to return to work or full activity of 3.5 (2-7) weeks.

Conclusion: laparoscopic resection of recurrent ileocolic Crohn's disease is safe, feasible and associated with short-term benefits

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Published date: 2 November 2009

Identifiers

Local EPrints ID: 79410
URI: http://eprints.soton.ac.uk/id/eprint/79410
PURE UUID: 2d700ab9-1643-40e6-938e-213cb2fdaf65

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Date deposited: 15 Mar 2010
Last modified: 14 Mar 2024 00:29

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Contributors

Author: D. Bandyopadhyay
Author: P.M. Sagar
Author: A. Mirnezami
Author: J. Lengyel
Author: C. Morrison
Author: M. Gatt

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