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Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease
M S Dunker1, A M Stiggelbout, R A van Hogezand
1Department of Gastrointestinal Surgery, Leiden University Medical Hospital Center, Post Office Box 9600, 2300 RC Leiden, The Netherlands.
Background:
The objectives of this study were to evaluate body image, cosmetic results, and quality of life in patients with Crohn's disease of the terminal ileum who had either laparoscopic-assisted or open ileocolic resection, and to determine how patients experienced the pre- and postoperative periods after both procedures.
Methods:
Thirty-four patients participated: 11 patients after open resection (OR), 11 patients after laparoscopic-assisted resection (LR), and 12 patients without resection (WR). Retrospectively, the patients filled out several questionnaires pertaining to body image, hospital experiences, and quality of life. One-way analysis of variance, Student's t-tests, and Pearson's correlation were used for statistical analysis.
Results:
The cosmetic score was significantly higher in the LR than in the OR group (p < 0.01). Body image correlated strongly with cosmesis and with quality of life. The hospital experiences of the laparoscopic and open groups were similar.
Conclusions:
Laparoscopic surgery was associated with better cosmesis than open surgery. Patients do not experience laparoscopic surgery any differently from open surgery.