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[Laparoscopic ileo-colic resection in Crohn's disease]
L Gambiez1, F Denimal, M Jafari-Manjili
1Service de Chirurgie Adulte Ouest, Hôpital Claude Huriez, Lille.
Unlabelled:
The objective was to evaluate the reliability and safety of laparoscopic ileocolic resection for Crohn's disease.
Patients And Methods:
From June 1995 to February 1999, 40 patients underwent a laparoscopic ileocolic resection for Crohn's disease. Fistulizing disease, phlegmons and patients with previous laparotomy were excluded. Early morbidity, postoperative comfort and clinical recurrence were rates evaluated.
Results:
No intra-operative incident or conversion occurred. Mean operating time was 163 min. Complications occurred in three patients: 1 pelvic hematoma with super-infection, 1 protracted ileus (7 days), 1 venous thrombosis. Opiate analgesics were used for a mean period of 3.1 days. Delay before bowel movements was 3.2 days. Post-operative hospital stay was 8 days. Mean size of the wound was 4.1 cm. Twelve patients (30%) developed long-term clinical recurrence; the mean disease-free interval was 10 months. No patient required secondary re-operation.
Conclusion:
Laparoscopic ileocolic resection was reliable and safe in the treatment of Crohn's ileal strictures. The possible role of this method in the treatment of fistulizing disease or recurrence has to be evaluated.