Related Experiment Video
Updated: Aug 8, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Comparison of laparoscopic and open ileocecal resection for Crohn's disease in children
V Dotlacil1, T Lerchova2, S Coufal3
1Department of Paediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, V Uvalu 84, Praha 5, 150 06, Prague, Czech Republic. vojtech.dotlacil@fnmotol.cz.
Insights
Laparoscopic-assisted ileocecal resection (ICR) in pediatric Crohn's disease patients resulted in a shorter hospital stay without increasing postoperative complications. This approach should be preferred for primary ICR.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Inflammatory Bowel Disease
Background:
- Ileocecal resection (ICR) is a common surgical procedure for pediatric Crohn's disease (CD).
- Comparing surgical approaches is crucial for optimizing patient outcomes.
Purpose of the Study:
- To compare the outcomes of laparoscopic-assisted ICR versus open ICR in pediatric CD patients.
- To evaluate differences in complications, hospital stay, and follow-up duration between the two surgical methods.
Main Methods:
- Retrospective review of 62 pediatric CD patients undergoing ICR between March 2014 and December 2021.
- Patients were divided into open (OG) and laparoscopic (LG) groups.
- Data collected included demographics, clinical characteristics, surgical details, hospitalization, and follow-up, with complications classified by Clavien-Dindo classification.
Main Results:
- No significant difference in the duration of surgery between OG (130 min) and LG (148 min).
- Postoperative complication rates were similar between groups (OG 7.14% vs LG 5%).
- Laparoscopic group (LG) showed a significantly shorter median hospital stay (7 days) compared to the open group (OG) (8 days).
Conclusions:
- Laparoscopic-assisted ICR offers a shorter hospital stay for pediatric CD patients.
- The laparoscopic approach is not associated with an increased risk of 30-day postoperative complications.
- Laparoscopic surgery is recommended as the preferred approach for primary ICR in pediatric CD.
Purpose:
Ileocecal resection (ICR) is the most frequently performed surgery in paediatric Crohn's disease (CD) patients. The aim of the study was to compare laparoscopic-assisted and open ICR.
Methods:
Retrospective review of consecutive CD patients undergoing ICR between March 2014 and December 2021 was performed. The patients were divided into open (OG) and laparoscopic (LG) groups. Compared parameters included patients' demographics, clinical characteristics, surgery, duration of hospitalisation and follow-up. Complications were classified according to the Clavien-Dindo classification (CDc). Risk factors were identified using multivariable analysis.
Results:
Sixty-two patients (29 females, 46.7%) were included in the analysis, forty-two patients in OG. The median duration of surgery was 130 in OG versus 148 in LG (p = 0.065) minutes. Postoperative complications were reported in 4 patients (12.1%). There was no significant difference in postoperative complications according to CDc (OG 7.14 vs LG 5%, p = 1). The median length of hospitalisation was 8 in OG and 7 days in LG (p = 0.0005). The median length of follow-up was 21.5 months.
Conclusion:
The laparoscopic-assisted approach had shorter hospital stay and was not associated with increased risk of 30-day postoperative complications. Laparoscopic surgery should be considered the preferred surgical approach for primary ICR.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...