When is Laparoscopy Avoided in the Treatment of Surgical Complications due to Crohn Disease

被引：0

作者：

Slavu, Iulian ^{[1
]}

Nitipir, Cornelia ^{[2
]}

Alecu, Lucian ^{[3
]}

Tulin, Adrian ^{[3
]}

Constantinoiu, Silviu ^{[4
]}

机构：

[1] Emergency Clin Hosp, Gen Surg Clin, Bucharest, Romania

[2] Emergency Clin Hosp, Bucharest, Romania

[3] Emergency Clin Hosp Agrippa Lonescu, Gen Surg Clin, Bucharest, Romania

[4] Ctr Excelence Esophageal Canc, Bucharest, Romania

来源：

CHIRURGIA | 2019年 / 114卷 / 04期

关键词：

laparoscopy; Crohn; surgery; ASSISTED ILEOCOLIC RESECTIONS; ILEOCECAL RESECTION; TERM OUTCOMES; SURGERY; PHLEGMONS; ABSCESSES;

D O I：

10.21614/chirurgia.114.4.487

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: Crohn disease (CD) has seen a steady increase in incidence over the years in Romania. Laparoscopy had a slow evolution as a feasible therapeutic option for patients with CD. Material and Method: The study is retrospective. The period on which the data was gathered spread over 8 years (01.01.2011-01.01.2019). Data was retrieved from three Clinical Hospitals in Bucharest, Romania. Results: the preoperative diagnosis of an intestinal fistula (p = 0,02), sepsis (p = 0.01) or increased age should be regarded as a limitation for a laparoscopic approach in CD complications. Also in emergency settings an open approach should be the mainstay treatment (approach p = 0.001). Conclusion: Laparoscopy is a feasible surgical option in the treatment of surgical complication in CD. In order to increase the safety of the intervention, correct selection of patients is important.

引用

页码：487 / 493

页数：7

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