دورية أكاديمية
أعرض في EDS

Long-term surgical recurrence, morbidity, quality of life, and body image of laparoscopic-assisted vs. open ileocolic resection for Crohn's disease: a comparative study.

التفاصيل البيبلوغرافية
العنوان: Long-term surgical recurrence, morbidity, quality of life, and body image of laparoscopic-assisted vs. open ileocolic resection for Crohn's disease: a comparative study.
المؤلفون: Eshuis EJ; Department of Surgery, Academic Medical Centre, G4-146.1, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands., Polle SW, Slors JF, Hommes DW, Sprangers MA, Gouma DJ, Bemelman WA
المصدر: Diseases of the colon and rectum [Dis Colon Rectum] 2008 Jun; Vol. 51 (6), pp. 858-67. Date of Electronic Publication: 2008 Feb 12.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Country of Publication: United States NLM ID: 0372764 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1530-0358 (Electronic) Linking ISSN: 00123706 NLM ISO Abbreviation: Dis Colon Rectum Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Philadelphia. Lippincott
مواضيع طبية MeSH: Body Image* , Laparoscopy* , Quality of Life*, Crohn Disease/*psychology , Crohn Disease/*surgery, Adult ; Aged ; Aged, 80 and over ; Chi-Square Distribution ; Colectomy/methods ; Female ; Humans ; Ileitis/surgery ; Male ; Middle Aged ; Recurrence ; Statistics, Nonparametric ; Surveys and Questionnaires ; Treatment Outcome
مستخلص: Purpose: Several studies have compared conventional open ileocolic resection with a laparoscopic-assisted approach. However, long-term outcome after laparoscopic-assisted ileocolic resection remains to be determined. This study was designed to compare long-term results of surgical recurrence, quality of life, body image, and cosmesis in patients who underwent laparoscopic-assisted or open ileocolic resection for Crohn's disease.
Methods: Seventy-eight consecutive patients who underwent ileocolic resection during the period 1995 to 1998 were analyzed; 48 underwent a conventional open approach in the Academic Medical Centre (Amsterdam, The Netherlands) and 30 underwent a laparoscopic-assisted approach in the Leiden University Medical Centre (Leiden, The Netherlands). Primary outcome parameters were reoperation and readmission rate. Secondary outcome parameters were quality of life, body image, and cosmesis.
Results: The two groups were comparable for characteristics of sex, age, and immunosuppressive therapy. Seventy-one patients had a complete follow-up of median 8.5 years. Resection for recurrent Crohn's disease was performed in 6 of 27 (22 percent) and 10 of 44 (23 percent) patients in the laparoscopic and open groups, respectively. Reoperations for incisional hernia were only performed after conventional open ileocolic resection (3/44 = 6.8 percent). Quality of life and body image were comparable, but cosmesis scores were significantly higher in the laparoscopic group.
Conclusions: Despite small numbers, we found that surgical recurrence and quality of life after laparoscopic-assisted and open ileocolic resection were comparable. Incisional hernias occurred only after open ileocolic resection, and laparoscopic-assisted ileocolic resection resulted in a significantly better cosmesis.
References: Surg Endosc. 2001 May;15(5):450-4. (PMID: 11353959)
Dis Colon Rectum. 2001 Nov;44(11):1661-6. (PMID: 11711739)
Ann Surg. 1999 Oct;230(4):575-84; discussion 584-6. (PMID: 10522727)
Surg Endosc. 2000 Aug;14(8):721-5. (PMID: 10954817)
Can J Gastroenterol. 2001 Apr;15(4):237-42. (PMID: 11331925)
Dis Colon Rectum. 2002 May;45(5):605-10. (PMID: 12004208)
J Pediatr Gastroenterol Nutr. 2001 Nov;33(5):543-7. (PMID: 11740226)
Surg Endosc. 1998 Nov;12(11):1334-40. (PMID: 9788857)
Dis Colon Rectum. 2006 Jan;49(1):58-63. (PMID: 16328612)
Colorectal Dis. 2005 Jul;7(4):375-81. (PMID: 15932562)
Arch Surg. 2003 Jan;138(1):76-9. (PMID: 12511156)
Arch Surg. 2001 May;136(5):521-7. (PMID: 11343542)
Ann Surg. 2000 Sep;232(3):401-8. (PMID: 10973390)
Colorectal Dis. 2003 May;5(3):228-32. (PMID: 12780883)
Eur J Surg. 2000 Mar;166(3):213-7. (PMID: 10755335)
Br J Surg. 2004 Nov;91(11):1428-37. (PMID: 15499649)
Br J Surg. 1995 Feb;82(2):216-22. (PMID: 7749697)
Surg Endosc. 2005 Dec;19(12):1549-55. (PMID: 16235128)
J Clin Epidemiol. 1998 Nov;51(11):1055-68. (PMID: 9817123)
Dis Colon Rectum. 2001 Jan;44(1):1-8; discussion 8-9. (PMID: 11805557)
Dig Dis Sci. 1999 May;44(5):932-8. (PMID: 10235600)
Ann Surg. 2003 Aug;238(2):221-8. (PMID: 12894015)
Dis Colon Rectum. 2003 Aug;46(8):1129-33. (PMID: 12907912)
Ann Surg. 2006 Feb;243(2):143-9; discussion 150-3. (PMID: 16432345)
تواريخ الأحداث: Date Created: 20080213 Date Completed: 20080701 Latest Revision: 20220408
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC2440934
DOI: 10.1007/s10350-008-9195-6
PMID: 18266036
قاعدة البيانات: MEDLINE
الوصف
تدمد:1530-0358
DOI:10.1007/s10350-008-9195-6