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Long-term outcomes following laparoscopically assisted versus open ileocolic resection for Crohn's disease
British journal of surgery, 2010-04, Vol.97 (4), p.563-568
Eshuis, E. J.
Slors, J. F. M.
Stokkers, P. C. F.
Sprangers, M. A. G.
Ubbink, D. T.
Cuesta, M. A.
Pierik, E. G. J. M.
Bemelman, W. A.
2010
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Eshuis, E. J.
Slors, J. F. M.
Stokkers, P. C. F.
Sprangers, M. A. G.
Ubbink, D. T.
Cuesta, M. A.
Pierik, E. G. J. M.
Bemelman, W. A.
Titel
Long-term outcomes following laparoscopically assisted versus open ileocolic resection for Crohn's disease
Ist Teil von
British journal of surgery, 2010-04, Vol.97 (4), p.563-568
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2010
Quelle
Wiley Online Library - AutoHoldings Journals
Beschreibungen/Notizen
Background: Long‐term results of laparoscopically assisted versus open ileocolic resection for Crohn's disease were evaluated in a randomized trial. Methods: Sixty patients who underwent ileocolic resection between 1999 and 2003 were followed prospectively. Primary outcomes were reoperation, readmission and repeat resection rates for recurrent Crohn's disease. Secondary outcomes were quality of life (QOL), body image and cosmesis. Results: Five patients were lost to follow‐up. Median follow‐up was 6·7 (interquartile range 5·7–7·9) years. Sixteen of 29 and 16 of 26 patients remained relapse free after ileocolic resection in the laparoscopic and open groups respectively (risk difference 6 (95 per cent confidence interval − 20 to 32) per cent). Resection of recurrent Crohn's disease was necessary in two of 29 versus three of 26 patients (risk difference 5 (−11 to 20) per cent). Overall reoperation rates for recurrent Crohn's disease, incisional hernia and adhesion‐related problems were two of 29 versus six of 26 (risk difference 16 (−3 to 35) per cent). QOL was similar, whereas body image and cosmesis scores were significantly higher after laparoscopy (P = 0·029 and P < 0·001 respectively). Conclusion: Laparoscopically assisted ileocolic resection results in better body image and cosmesis, whereas open surgery is more likely to produce incisional hernia and obstruction. Copyright © 2010 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Superior results with laparoscopy
Sprache
Englisch
Identifikatoren
ISSN: 0007-1323
eISSN: 1365-2168
DOI: 10.1002/bjs.6918
Titel-ID: cdi_proquest_miscellaneous_733692520
Format
–
Schlagworte
Adult
,
Biological and medical sciences
,
Body Image
,
Colectomy - methods
,
Colectomy - mortality
,
Crohn Disease - mortality
,
Crohn Disease - surgery
,
Digestive system. Abdomen
,
Endoscopy
,
Female
,
Gastroenterology. Liver. Pancreas. Abdomen
,
General aspects
,
Humans
,
Investigative techniques, diagnostic techniques (general aspects)
,
Kaplan-Meier Estimate
,
Laparoscopy - methods
,
Laparoscopy - mortality
,
Male
,
Medical sciences
,
Middle Aged
,
Other diseases. Semiology
,
Prospective Studies
,
Quality of Life
,
Recurrence
,
Reoperation
,
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
,
Treatment Outcome
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