Effects of minimizing access trauma in laparoscopic colectomy in patients with IBD

摘要: Laparoscopic interventions to minimize access trauma are increasingly gaining importance for both cosmetic reasons and lower postoperative morbidity. The aim of this study was compare the clinical outcomes different laparoscopic colectomy proctocolectomy accesses considering IBD. A comparison made between total (LR)—without an extra incision sample —and laparoscopic-assisted resection using a small retrieval specimen (LAR) From 2006 2012, 109 IBD patients underwent minimal invasive or proctocolectomy. Patients were subdivided according into LR LAR. Perioperative evaluated. 86 with Ulcerative Colitis (UC) 23 Crohn’s disease (CD) included (LR: 64 UC/13 CD, LAR: 22 UC/10 CD). Among them, there no differences in age, BMI, sex, ASA score pre-existing immunosuppression. UC had higher activity (Truelove III LR: 42 %, 5 %; p = 0.005). Disease Activity Index did not differ. shorter operating time 211.5, 240 min; p = 0.002). There significant difference hospital stay 11, 12.5 days; p ≥ 0.05), length at ICU (both 1 days; duration required analgesia 7 days, 8 days; nutritional build-up 5 days; p ≥ 0.05). Groups same overall complication rate, but surgical site infection rates tended be LAR 9.1 %, 21.9 %, p = 0.07). procedures safe effective techniques colon involvement Minimizing offers potential advantage reduced infections, especially frequently immunosuppressed patients.