腹腔镜切除复发性克罗恩病：安全性、可行性和短期结果。

Laparoscopic resection for recurrent Crohn's disease: safety, feasibility and short-term outcomes.

机构信息

The John Goligher Department of Colorectal Surgery, The General Infirmary at Leeds, Leeds, UK.

出版信息

Colorectal Dis. 2011 Feb;13(2):161-5. doi: 10.1111/j.1463-1318.2009.02100.x.

DOI:10.1111/j.1463-1318.2009.02100.x

PMID:19888954

Abstract

AIM

The safety, feasibility and short-term outcomes of laparoscopic resection were assessed in patients with recurrent ileocolic Crohn's disease.

METHOD

A consecutive series of patients was identified from a prospectively collated database. Data included patient demographics, previous medical and surgical treatment, operative details and postoperative course. Data from the original index open operation were collected retrospectively by review of the case notes.

RESULTS

Between 2005 and 2009, 27 patients [21 women, mean (range) age 31 years (16-51 years)] underwent laparoscopic resection for recurrent ileocolic Crohn's disease. All had histologically confirmed recurrent disease at the ileocolic anastomosis. Five (18.5%) patients required extended resection for Crohn's colitis, three (11.1%) had fistulating disease and one (3.4%) patient had a psoas abscess. The median (range) operative time was 110 min (70-170 min) with a conversion rate of two (7.4%) of 27 patients. The length of stay was 4 days (2-7 days) with time to return to work or full activity of 3.5 weeks (2-7 weeks).

CONCLUSION

Laparoscopic resection of recurrent ileocolic Crohn's disease is safe, feasible and associated with short-term benefits.

摘要

目的

评估腹腔镜切除术治疗复发性回结肠克罗恩病的安全性、可行性和短期疗效。

方法

从一个前瞻性收集的数据库中确定了一系列连续的患者。数据包括患者的人口统计学资料、既往的医疗和手术治疗、手术细节和术后过程。通过回顾病历，收集了原始索引开放手术的数据。

结果

2005 年至 2009 年间，27 例[21 例女性，平均（范围）年龄 31 岁（16-51 岁）]因复发性回结肠克罗恩病接受腹腔镜切除术。所有患者的回肠结肠吻合口均有组织学证实的复发性疾病。5 例（18.5%）患者因克罗恩结肠炎需要扩大切除，3 例（11.1%）有瘘管病，1 例（3.4%）患者有腰大肌脓肿。中位（范围）手术时间为 110 分钟（70-170 分钟），27 例患者中有 2 例（7.4%）需要转换。住院时间为 4 天（2-7 天），恢复工作或完全活动的时间为 3.5 周（2-7 周）。