ArticleSurgical endoscopy2016
Minimal-invasive approach for penetrating Crohn's disease is not associated with increased complications.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 23 citations in OpenAlex.
- Laparoscopic surgery is associated with reduced long-term reoperation risk in Crohn's disease.Techniques in coloproctology · 2026Article
- Can serious postoperative complications in patients with Crohn's disease be predicted using machine learning?World journal of gastrointestinal surgery · 2024Article
- Landscape of surgery in Crohn's disease across twenty years: insights from machine learning.Translational gastroenterology and hepatology · 2024Article
- Open approach for ileocolic resection in Crohn's disease in the era of minimally invasive surgery: indications and perioperative outcomes in a referral center.Updates in surgery · 2023Article
- Surgical Planning in Penetrating Abdominal Crohn's Disease.Frontiers in surgery · 2022Review
- Surgical Management of Small Bowel Crohn's Disease.Frontiers in surgery · 2022Review
- Short-term and long-term outcomes of laparoscopicWorld journal of gastroenterology · 2021Article
- When should we add a diverting loop ileostomy to laparoscopic ileocolic resection for primary Crohn's disease?Surgical endoscopy · 2021Article
- Abdominal Surgery in Crohn's Disease: Risk Factors for Complications.Inflammatory intestinal diseases · 2021Article
- Mesenteric granulomas independently predict long-term risk of surgical recurrence in Crohn's disease.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2020Article
- Restoration of intestinal continuity after stoma formation for Crohn's disease in the era of biological therapy : A retrospective cohort study.Wiener klinische Wochenschrift · 2020Article
- Outcome of no oral antibiotic prophylaxis and bowel preparation in Crohn's diseases surgery.Wiener klinische Wochenschrift · 2019Article
- Factors Associated with Short-Term Morbidity in Patients Undergoing Colon Resection for Crohn's Disease.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2018Article
- The feasibility and short-term clinical outcomes of single-incision laparoscopic surgery for patients with complex Crohn's disease.Surgery today · 2018Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic surgery for penetrating Crohn's disease (CD) still remains highly conflicting due to a lack of sufficient data. Therefore, the following large study was designed to compare postoperative outcomes after minimal-invasive resections for penetrating and non-penetrating CD.
methodsConsecutive patients, who underwent laparoscopic intestinal resection for symptomatic CD at a tertiary academic referral center, were included. Patients were divided according to perioperative findings in penetrating and non-penetrating type of disease. All clinical data were obtained from an institutional database and analyzed retrospectively.
resultsOf 234 patients enrolled, 101 patients [females: n = 54 (53.5 %)] were operated on for non-penetrating CD and 133 patients [females: n = 50 (37.6 %)] for penetrating CD. Fistulas (p < 0.001), inflammatory mass (p < 0.001) and abscess formation (p < 0.001) were observed more frequently in the perforating group. Ileocolic resections were performed predominantly in both groups [perforating CD: n = 110 (82.7 %), non-perforating CD: n = 82 (81.2 %)], with more complex resections (>1 intestinal resection) found in perforating CD (p < 0.001). Conversion rates did not differ significantly. Notably, 30-day postoperative morbidity was comparable for both groups [perforating CD: n = 20 (15 %), non-perforating CD: n = 19 (18.8 %), p = 0.44]. Postoperative complication rates graded according to the Clavien-Dindo classification showed no difference too (p = 0.49).
conclusionLaparoscopic surgery can be conducted safely in selected patients with penetrating CD without increasing the risk of postoperative complications. This finding needs to be implemented in future guidelines.
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