Surgical management of IBD-from an open to a laparoscopic approach

被引：46
作者：
Maggiori, Leon [1 ]
Panis, Yves [1 ]
机构：
[1] Univ Denis Diderot Paris VII, Assistance publ Hop Paris, Hop Beaujon, Dept Colorectal Surg, F-92110 Clichy, France
来源：
NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY | 2013年 / 10卷 / 05期
关键词：
POUCH-ANAL ANASTOMOSIS; INFLAMMATORY-BOWEL-DISEASE; OPEN ILEOCOLIC RESECTION; QUALITY-OF-LIFE; CHRONIC ULCERATIVE-COLITIS; RECURRENT CROHNS-DISEASE; LONG-TERM OUTCOMES; OPEN RESTORATIVE PROCTOCOLECTOMY; INTRAABDOMINAL SEPTIC COMPLICATIONS; TOTAL ABDOMINAL COLECTOMY;
D O I：
10.1038/nrgastro.2013.30
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Surgery is a key feature of IBD management. Up to 70% of patients with Crohn's disease and 35% of patients with ulcerative colitis will require surgery during the course of their disease. This Review provides an overview of IBD surgical management, focusing on the potential benefits and drawbacks of laparoscopy compared with open surgery. Emergency and elective indications for both laparoscopic and open surgery are detailed for patients with ulcerative colitis and Crohn's disease. Evidence-based comparative results of these surgical approaches are discussed, along with factors that influence patient outcomes. Upcoming new techniques for IBD surgical management, including single-port surgery, are also presented.
引用
收藏
页码：297 / 306
页数：10
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