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Laparoscopic vs open surgery in ileostomy reversal in Crohn’s disease:A retrospective study

World Journal of Gastrointestinal Surgery 2021年第11期13卷 1414-1422页

作者： Jian Wan Xiao-Qi Yuan Tian-Qi Wu Mu-Qing Yang Xiao-Cai Wu Ren-Yuan Gao Lu Yin Chun-Qiu Chen Center for Difficult and Complicated Abdominal Surgery Shanghai Tenth People's HospitalSchool of MedicineTongji UniversityShanghai 200092China

BACKGROUND Although minimally invasive surgery is becoming more commonly applied for ileostomy reversal(IR),there have been relatively few studies of IR for patients with Crohn's disease(CD).It is therefore important to evaluate the potential benefits and risks of laparoscopy for patients with *** To compare the safety,feasibility,and short-term and long-term outcomes of laparoscopic IR(LIR)vs open IR(OIR)for the treatment of *** The baseline characteristics,operative data,and short-term(30-d)and long-term outcomes of patients with CD who underwent LIR and OIR at our institution between January 2017 and January 2020 were retrieved from an electronic database and retrospectively *** Of the 60 patients enrolled in this study,LIR was performed for 48 and OIR for *** were no statistically significant differences in baseline characteristics,operation time,intraoperative blood loss,days to flatus and soft diet,postoperative complications,hospitalization time,readmission rate within 30 d,length of hospitalization,hospitalization costs,or reoperation rate after IR between the two ***,patients in the LIR group more frequently required lysis of adhesions as compared to those in the OIR group(87.5%vs 41.7%,respectively,Pintestinal function and hospitalization *** The safety and feasibility of LIR for the treatment of CD are comparable to those of OIR with no increase in intraoperative or postoperative complications.

关键词： Crohn’s disease Laparoscopy Ileostomy reversal intestinal adhesion Enterolysis Faster recovery

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