Can laparoscopy reduce hospital stay in the treatment of Crohn's disease?

摘要: PURPOSE: The aim of this article was to investigate the safety, outcome, length stay, and cost hospital admission in patients with Crohn's disease who underwent laparoscopy compared open surgery. METHODS: Among 51 consecutive inflammatory bowel (1996–2000), 46 were included nonrandomized prospective study. Of these, 20 laparoscopic surgery 26 Data collected following information: age, gender, body mass index, diagnosis, duration disease, preoperative medical treatment, previous abdominal surgery, present indication for procedure performed (comparability measures), as well conversion operating time, time resolution ileus, morbidity, (outcome measures). RESULTS: There no significant difference respect comparability measures between open-surgery groups. mortality. intraoperative complication either group group. Operating significantly longer (302 minutes)vs. (244.7 minutes) (P<0.05), but disappeared when data adjusted extra required perform hand-sewn anastomoses (288.2 minutesvs. 244.7 minutes). Bowel function returned more quickly groupvs. terms passage flatus (3.7vs. 4.7 days) (P<0.05) resumption oral intake (4.2vs. 6.3 day) (P<0.01). fewer postoperative complications (9.5 percent)vs. (18.5 percent) (P<0.05); stay shorter (8.3 days)vs. (13.2 (P<0.01); lower ($6106, United States dollars)vs. ($9829, dollars) (P<0.05). CONCLUSION: is a reduction admission, rate Laparoscopic safe, it potentially cost-effective than traditional