When is Laparoscopy Avoided in the Treatment of Surgical Complications due to Crohn Disease

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When is Laparoscopy Avoided in the Treatment of Surgical Complications due to Crohn Disease

Iulian Slavu, Cornelia Nitipir, Lucian Alecu, Adrian Tulin, Silviu Constantinoiu
Original article, no. 4, 2019
Article DOI: 10.21614/chirurgia.114.4.487
Introduction: Crohn disease (CD) has seen a steady increase in incidence over the years in Romania. Laparoscopy had a slow evolution as a feasible therapeutic option for patients with CD.

Material and Method: The study is retrospective. The period on which the data was gathered spread over 8 years (01.01.2011-01.01.2019). Data was retrieved from three Clinical Hospitals in Bucharest, Romania. Results: the preoperative diagnosis of an intestinal fistula (p = 0,02), sepsis (p = 0.01 ) or increased age should be regarded as a limitation for a laparoscopic approach in CD complications.
Also in emergency settings an open approach should be the mainstay treatment (approach p = 0.000001).

Conclusion: Laparoscopy is a feasible surgical option in the treatment of surgical complication in CD. In order to increase the safety of the intervention, correct selection of patients is important.

Keywords: laparoscopy, Crohn, surgery