Laparoscopic approach for children with inflammatory bowel diseases

摘要: Minimally invasive surgery is being increasingly applied to inflammatory bowel diseases (IBDs). Few pediatric series from selected research have been described date. This study describes a unicentric experience of laparoscopic treatment children with IBDs. All consecutive patients IBDs between February 2006 and 2010 who underwent were included. We reviewed notes recorded demographic data, indications, perioperative management, surgical details, length surgery, complications, postoperative hospitalization functional outcome. performed 25 procedures on 16 (12 ulcerative colitis, 3 Crohn’s disease, 1 indeterminate colitis). Median age was 12 years. A total 50% elective surgery; 11 staged subtotal colectomy (LSTC) followed by J-pouch ileorectal anastomosis (JPIRA). Three straight LSTC + JPIRA. included protective ileostomy. Length ranged 120 380 min depending the procedure (LSTC ± JPIRA). No conversion required. 18 days. observed six complications (24%) mainly represented adhesions that effectively treated laparoscopically. Ten restored (ileostomy closure) assessed for continence turned out be good in 80%. Laparoscopy proved feasible, safe effective IBD children. Although we relatively low incidence stoma site still remain major issue, which can dealt Functional outcome as well cosmesis satisfactory. As results are encouraging, at present prefer laparoscopy patients.