ArticleJournal of the West African College of Surgeons
Retrospective Study of Open Versus Laparoscopic Ileocecal Resection in Crohn's Disease in an MIS Era: From a Low-to-Middle Income Country Perspective.
Article in Journal of the West African College of Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: In a mini-invasive surgery (MIS) era, what place holds open surgery for ileocecal resection in Crohn's disease? Our study aims to compare open versus laparoscopic surgery from a low-to-middle income country perspective. Methods: This was a retrospective study conducted in a colorectal referral centre in a low-to-middle income country from 2014 to 2020. We included all patients with Crohn's disease admitted in our department for ileocecal resection. Data were collected using chart review. Associations between postoperative complications and covariates were investigated using Pearson's Chi-square analysis, Fisher's exact test for qualitative variables, and Results: We included 83 patients. The median age was 34 (18-75) and 54.2% ( Conclusions: Laparoscopic surgery offers a lower risk of operative or postoperative bleeding and a shorter length of stay. It can be safe, effective, and feasible in low- and middle income countries if substantial efforts are made to address all barriers.
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