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Short-Term Outcomes and Risk Factors for Postoperative Complications in Complex Crohn's Disease: A Propensity
Eiichi Nakao1, Kenji Tatsumi1, Nao Obara1
1Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital, Yokohama, Kanagawa, Japan.
Abstract:
Laparoscopic surgery is widely accepted for uncomplicated Crohn's disease (CD) because it offers faster recovery, less pain, and better cosmesis. In complex CD with fistulas or abscesses, however, dense adhesions and fragile tissue make surgery technically demanding and increase postoperative morbidity. Most previous studies comparing laparoscopic and open surgery were limited by selection bias and lacked multivariate adjustment. Robust evidence on the safety of laparoscopy and predictors of postoperative complications remains scarce.
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