Laparoscopic-assisted intestinal resection for Crohn's disease. Which patients are good candidates?

摘要: This study was undertaken to determine preoperative criteria indicating which patients with Crohn's disease are most amenable minimally invasive intestinal resection. Laparoscopic-assisted resection attempted in 25 disease. Preoperative assessment of all included physical examination and contrast radiography. Laparoscopic successfully completed 19 patients. Four whom both palpable mass fistulous were present required conversion open surgery. One patient found during surgery have a fistula conversion, as did one who had undergone previous ileocolic In treated laparoscopically, oral alimentation, discontinuation parenteral narcotics, hospital discharge possible at an average 3.4, 4.2, 6.5 days postsurgery, respectively. Patients operated upon using techniques stayed the 8.5 days. is beneficial selected The presence fixed on evaluation predictive laparotomy should be considered relative contraindication. either or alone more laparoscopic-assisted resection, while primary uncomplicated appear ideally suited