腹腔镜手术在克罗恩病治疗中的应用
Laparoscopic surgery in the management of Crohn's disease.
作者信息
Lim James Y, Kim Joseph, Nguyen Scott Q
机构信息
James Y Lim, Joseph Kim, Scott Q Nguyen, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY 10029, United States.
出版信息
World J Gastrointest Pathophysiol. 2014 Aug 15;5(3):200-4. doi: 10.4291/wjgp.v5.i3.200.
Abstract
Crohn's disease is a chronic inflammatory bowel disease with surgery still frequently necessary in its treatment. Since the 1990's, laparoscopic surgery has become increasingly common for primary resections in patients with Crohn's disease and has now become the standard of care. Studies have shown no difference in recurrence rates when compared to open surgery and benefits include shorter hospital stay, lower rates of wound infection and decreased time to bowel function. This review highlights studies comparing the laparoscopic approach to the open approach in specific situations, including cases of complicated Crohn's disease.
摘要
克罗恩病是一种慢性炎症性肠病，治疗中仍经常需要进行手术。自20世纪90年代以来，腹腔镜手术在克罗恩病患者的初次切除术中越来越普遍，现已成为治疗的标准方法。研究表明，与开放手术相比，复发率没有差异，其好处包括住院时间缩短、伤口感染率降低以及肠道功能恢复时间缩短。这篇综述重点介绍了在特定情况下（包括复杂性克罗恩病病例）比较腹腔镜手术与开放手术方法的研究。
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