+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Laparoscopic colonic resection in inflammatory bowel disease: minimal surgery, minimal access and minimal hospital stay



Laparoscopic colonic resection in inflammatory bowel disease: minimal surgery, minimal access and minimal hospital stay



Colorectal Disease 10(9): 911-915



Laparoscopic surgery for inflammatory bowel disease (IBD) is technically demanding but can offer improved short-term outcomes. The introduction of minimally invasive surgery (MIS) as the default operative approach for IBD, however, may have inherent learning curve-associated disadvantages. We hypothesise that the establishment of MIS as the standard operative approach does not increase patient morbidity as assessed in the initial period of its introduction into a specialised unit, and that it confers earlier postoperative gastrointestinal recovery and reduced hospitalisation compared with conventional open resection. A case-control study was undertaken on laparoscopic resection (LR) vs open colon resection (OR) for IBD. The LR group was collated prospectively and compared with a pathologically matched historical control set. Outcomes measured included: postoperative length of stay, time to normal bowel function and postoperative morbidity. Statistical analysis was performed using spss. Twenty-eight patients were investigated (14 LR, 14 OR). The two groups were matched for type of operation, type of disease and age. There were no conversions in the LR group. Morbidity and readmissions did not differ significantly between the groups. Those undergoing laparoscopic resection had a quicker return to diet (median 2 vs 4 days; P = 0.000002), time to first bowel motion (2 vs 4 days; P = 0.019) and shorter postoperative length of stay (5.5 vs 12.5; P = 0.0067). These findings support the routine use of MIS for the elective surgical management of IBD in our department. Patients undergoing laparoscopic colectomies for IBD can expect faster return of gastrointestinal function and shorter hospitalisation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054070688

Download citation: RISBibTeXText

PMID: 19037931

DOI: 10.1111/j.1463-1318.2008.01518.x


Related references

Reoperative minimal access aortic valve surgery: minimal mediastinal dissection and minimal injury risk. Journal of Thoracic and Cardiovascular Surgery 136(6): 1564-1568, 2008

Laparoscopic cholecystectomy through the umbilicus--minimal access surgery gets more minimal. New Zealand Medical Journal 124(1341): 50-57, 2011

Minimal access surgery for the repair of simple congenital heart defects: factors affecting hospital stay after surgery. Japanese Journal of Thoracic and Cardiovascular Surgery 52(3): 127-134, 2004

Robotic pyeloplasty in an infant: Minimal access surgery with minimal 'access' to the patient. Indian Journal of Anaesthesia 63(2): 155-157, 2019

Minimal modulation of lymphocyte and natural killer cell subsets following minimal access surgery. American Journal of Surgery 177(1): 48-54, 1999

Percutaneous minimal-access fetoscopic surgery for myelomeningocele - not so minimal!. Ultrasound in Obstetrics and Gynecology 44(5): 499-500, 2014

Minimal access or minimal invasive surgery. South African Medical Journal 96(2): 87, 2006

Minimal access surgery for hydatid cyst disease: laparoscopic, thoracoscopic, and retroperitoneoscopic approach. Journal of Laparoendoscopic and Advanced Surgical Techniques. Part a 13(3): 159-165, 2003

Laparoscopic minimal-access surgery: where are we now? Where are we going?. Gastroenterology 118(2 Suppl 1): S148-S165, 2000

Minimal access colonic surgery: is it truly minimally invasive?. Anz Journal of Surgery 76(5): 282-284, 2006

A microfluidic distributor combining minimal volume, minimal dispersion and minimal sensitivity to clogging. Journal of Chromatography. a 1537: 75-82, 2018

Minimal access aortic valve replacement using a minimal extracorporeal circulatory system. Annals of Thoracic Surgery 87(3): 720-725, 2009

Minimal access aortic valve replacement using minimal extracorporeal circuit. Asian Cardiovascular and Thoracic Annals 20(3): 358-360, 2012

Resection of foregut-derived duplications by minimal-access surgery. Pediatric Surgery International 15(3-4): 224-226, 1999

An endoscopic approach for pancreatic necrosis may reduce length of stay compared to minimal access surgery. Pancreatology 18(4): S93-S94, 2018