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Updated: Apr 13, 2026
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Laparoscopic bowel resection for pediatric inflammatory bowel disease
Justin B Mahida1, Lindsey Asti2, Katherine J Deans1
1Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, Ohio; Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Insights
Laparoscopic surgery for pediatric ulcerative colitis showed no difference in hospital stay, but laparoscopic surgery for Crohn disease was linked to shorter stays. Further research is needed for incisional complications.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Surgical outcomes
Background:
- Ulcerative colitis and Crohn disease impact pediatric patients.
- Surgical interventions like intestinal resection are necessary.
- Comparing laparoscopic and open approaches is crucial for optimizing patient care.
Purpose of the Study:
- To compare 30-day outcomes of laparoscopic versus open intestinal resection in pediatric patients with ulcerative colitis and Crohn disease.
Main Methods:
- Data from the 2012-2013 American College of Surgeons National Surgical Quality Improvement Program Pediatric database were analyzed.
- Included were proctocolectomies for ulcerative colitis and intestinal resections with primary anastomosis for Crohn disease.
- Demographic, clinical, and 30-day outcome characteristics were compared between open and laparoscopic groups.
Main Results:
- For ulcerative colitis, 74% of proctocolectomies were laparoscopic, showing shorter postoperative length of stay (LOS) and fewer incisional complications. Multivariate analysis indicated open vs. laparoscopic proctocolectomy was not an independent predictor of LOS.
- For Crohn disease, 65% of intestinal resections were laparoscopic. Laparoscopic resection was associated with similar complication rates but a shorter postoperative LOS compared to open resection.
Conclusions:
- Laparoscopic proctocolectomy in children with ulcerative colitis is not independently associated with a different postoperative LOS.
- Laparoscopic bowel resections for pediatric Crohn disease may be linked to shorter postoperative LOS than open procedures.
- Further research with more cases is needed to analyze outcomes and factors influencing incisional complications.
Background:
To compare 30-d outcomes between laparoscopic and open intestinal resection performed on pediatric patients with ulcerative colitis and Crohn disease.
Materials And Methods:
We identified all proctocolectomies performed on patients with ulcerative colitis and all intestinal resections with primary anastomosis performed on patients with Crohn disease in the 2012-2013 American College of Surgeons National Surgical Quality Improvement Program Pediatric. We compared demographic, clinical, and 30-d outcome characteristics between patients who underwent an open or laparoscopic resection.
Results:
Of the 140 patients with ulcerative colitis who underwent proctocolectomy, 103 (74%) were performed laparoscopically. Patients undergoing laparoscopic colectomy had shorter postoperative length of stay (LOS) and fewer incisional complications. On multivariate analysis, open versus laparoscopic proctocolectomy is not an independent predictor of postoperative LOS for patients with ulcerative colitis. Of the 188 patients with Crohn disease who underwent an intestinal resection, 122 (65%) underwent laparoscopic resection. In comparison with patients undergoing open resection, patients undergoing laparoscopic resection had similar rates of complications but a shorter postoperative LOS.
Conclusions:
For children with ulcerative colitis, laparoscopic proctocolectomy is not independently associated with a difference in postoperative LOS. In unadjusted analyses, laparoscopic bowel resections for children with Crohn disease may be associated with a shorter postoperative LOS compared with that of open procedures. Additional accrual of cases within the American College of Surgeons National Surgical Quality Improvement Program Pediatric will allow for risk-adjusted analyses of outcomes, including factors independently associated with incisional complications.
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