Single Port Laparoscopic Surgery for Complex Crohn's Disease Is Safe with a Lower Conversion Rate.
| Title: | Single Port Laparoscopic Surgery for Complex Crohn's Disease Is Safe with a Lower Conversion Rate. |
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| Authors: | Leo CA; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom .; 2 Imperial College of London , London, United Kingdom .; Samaranayake SF; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom .; Chandrasinghe PC; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom .; Shaikh IA; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom .; Hodgkinson JD; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom .; 2 Imperial College of London , London, United Kingdom .; Warusavitarne JH; 1 Department of Surgery, St. Mark's Hospital Academic Institute , London North West NHS Trust, Harrow, United Kingdom . |
| Source: | Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2017 Nov; Vol. 27 (11), pp. 1095-1100. Date of Electronic Publication: 2017 May 05. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9706293 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9034 (Electronic) Linking ISSN: 10926429 NLM ISO Abbreviation: J Laparoendosc Adv Surg Tech A Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1997- |
| MeSH Terms: | Colectomy/*statistics & numerical data ; Crohn Disease/*surgery ; Laparoscopy/*statistics & numerical data; Colectomy/methods ; Conversion to Open Surgery/statistics & numerical data ; Laparoscopy/methods ; Adolescent ; Adult ; Aged ; Anastomosis, Surgical ; Cohort Studies ; Female ; Humans ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Prospective Studies ; Treatment Outcome ; United Kingdom ; Young Adult |
| Abstract: | Purpose: Single port laparoscopic surgery (SPLS) is a technique which is increasing in popularity. The benefit of SPLS in complex Crohn's disease (CD), which includes a significant cohort of young patients sometimes needing multiple operations, has not been comprehensively assessed. This study analyses our early experience with this technique.; Methods: Patients who underwent SPLS for CD were included. Data were collected prospectively from January 2013 to December 2015. Ileocolic resections, right hemicolectomy, small bowel stricturoplasties, and resections were included in the complex CD cohort. Primary and redo operations were analyzed separately.; Results: Forty-five patients were included in the study (39 ileocolic resections and 6 small bowel stricturoplasty/resections). Of the total, 27 were primary resections and 18 were redo resections. The median age was 41 years (range 14-72 years), and the median hospital stay was 8 days (range 3-28 days). The total complication rate was 35.5% most of which were Clavien-Dindo type 1 and 2. There was no difference in operating time, average blood loss, conversion rates, complication rate, and hospital stay, between those who had primary or redo surgery.; Conclusions: SPLS can be performed safely in patients with complex CD even in redo surgery. There may be some technical advantages to the procedure in this group of patients. |
| Contributed Indexing: | Keywords: Crohn's disease; inflammatory bowel disease; laparoscopy; minimally invasive surgery; single port laparoscopic surgery |
| Entry Date(s): | Date Created: 20170506 Date Completed: 20180529 Latest Revision: 20260127 |
| Update Code: | 20260130 |
| DOI: | 10.1089/lap.2016.0567 |
| PMID: | 28475480 |
| Database: | MEDLINE |
Journal Article