Outcomes after laparoscopic surgery in children with inflammatory bowel disease

摘要: The utility and efficacy of the laparoscopic approach to management inflammatory bowel disease (IBD) in children are not clearly known. We conducted a retrospective descriptive cohort study with diagnosis IBD who underwent or laparoscopy-assisted procedure at quaternary pediatric referral center between 1999 2007. One-hundred thirty-six 154 operations (85 small bowel/ileocolic 69 colorectal) over 8 years study. Median age was 14.8 years (range = 1.8–18.8). Crohn’s 83, ulcerative colitis 50, indeterminate 3. time regular diet 5 days (range = 1–19), median postoperative stay 7 days (range = 1–70). Seven patients undergoing resection (8.2%) were converted an open procedure. Overall morbidity for procedures 27.1%. conversion rate during subtotal colectomy (STC) 7.1% (3/42), it 0% 22 ileal pouch-anal anastomosis (IPAA) procedures. associated STC 62.8%, following IPAA 63.6%. Sixteen percent (7/69) those colorectal developed late obstruction three requiring operative intervention. A is feasible low most IBD. Despite superior cosmesis, perioperative similar that seen Laparoscopic unexpectedly high incidence obstruction, although rates comparable surgery.