When is Laparoscopy Avoided in the Treatment of Surgical Complications due to Crohn Disease
Iulian Slavu, Cornelia Nitipir, Lucian Alecu, Adrian Tulin, Silviu ConstantinoiuOriginal 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.
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
