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Laparoscopic-assisted surgery for Crohn's disease: Reduced surgical stress following ileocolectomy


, : Laparoscopic-assisted surgery for Crohn's disease: Reduced surgical stress following ileocolectomy. Surgery Today (Tokyo) 30(3): 219-222, March

Recent progress in laparoscopic techniques has enabled operations for various intestinal disorders to be performed under laparoscopic assistance. This study was conducted to assess the benefits of performing laparoscopic-assisted surgery (LAS) in patients with Crohn's disease. LAS was performed in 24 selected patients with Crohn's disease, most of whom underwent ileocolic resection for ileitis and/or colitis with stenosis. To determine the benefits of LAS, the postoperative inflammatory parameters of these patients were examined and compared with those of 17 patients who underwent conventional open surgery. Despite giving all patients total parenteral nutrition (TPN) for more than 2 weeks preoperatively, two patients with large inflammatory masses involving enteroenteric fistulas required conversion to laparotomy. No laparoscopic procedure was converted for adhesions after previous resection or intraoperative complications. The maximum C-reactive protein values and body temperatures were significantly lower, and the time taken to normalize body temperature and leukocyte counts was significantly shorter in the LAS group than in the laparotomy group. LAS should be performed for patients with Crohn's disease in the inactive phase after appropriate nutritional support. Patients with terminal ileitis without a fistula are considered to have the highest indication for this procedure.

US$19.90

DOI: 10.1007/s005950050048


Other references

Dupont, D.A.nould, C.R.let-Repecaud, O.D.boz, G.F.urie, F.M.rtin, B.B.uvier, E., 2006: Determination of bovine lactoferrin concentrations in cheese with specific monoclonal antibodies. In order to determine bovine lactoferrin concentration in cheese, bovine lactoferrin-specific monoclonal antibodies have been raised and an ELISA has been developed to determine lactoferrin concentrations in milk, whey and experimental soft, semi-...

Hartock, O.; Rothermundt, M., 1928: Investigations on sterilizing mice experimentally infected with Spirochaeta recurrentis, by means of salvarsan. Mice in the early stages of infection with S. recurrentis can be freed of the spiro-chaetes by a single injection of salvarsan in a dose of 1/300 gm. per 20 gm. body wt. This dose is far below that tolerated. Many mice receiving no treatment spont...

Green, T.M.; Barnes, M.E.; Belohlavek, M.; Gilman, G.; Carlson, L.A.; Hagen, M.E.; Pellikka, P.A., 2009: Integrating research into clinical practice: development of an echocardiography research unit. Introducing a research program into an echocardiography clinical practice can pose many challenges. Some initial factors to consider are the possible effects on the current clinical schedule and the equipment and personnel resources required to su...

Chowdhury, A.H.; Ghose, S.K.; Mohammad, Q.D.; Habib, M.; Khan, S.U.; Rahman, K.M., 2015: Digital Subtraction Angiography is Superior to Magnetic Resonance Angiography in Diagnosis of Cerebral Arteriovenous Malformation. This study was carried out to compare MRA and DSA in diagnosis of cerebral AVM. It was a retrospective observational study conducted in the Department of Neurology Dhaka Medical College Hospital (DMCH), Dhaka during the period of January 2010 to D...

Dozmorov, M.G.; Wren, J.D., 2012: High-throughput processing and normalization of one-color microarrays for transcriptional meta-analyses. Microarray experiments are becoming increasingly common in biomedical research, as is their deposition in publicly accessible repositories, such as Gene Expression Omnibus (GEO). As such, there has been a surge in interest to use this microarray d...

MacKenzie, K.R.; Aning, J., 2016: Erratum to: Defining competency in flexible cystoscopy: a novel approach using cumulative Sum analysis. Bmc Urology 16(1): 57-57

Peloponnisios, P., 1976: Role of ultrasonography in the study of peripheral vascular diseases and carotid diseases. Revue Medicale de la Suisse Romande 96(11): 857-865

Maryniak, A.; Szumowski, L.; Orczykowski, Mł.; Przybylski, A.; Walczak, F., 2007: Anxiety and depression among the patients with frequent implantable cardioverter-defibrillator discharges. We examined 16 patients, aged 24 to 73, with ICD. Condition of qualification to the examined group was experiencing many discharges (from 25 to above 200) or electric shock (3 or more discharges following one after another). Most of the patients (...

Dittmer J.; Corwin L.; Merluzzi V.J.; Cooperband S.R.; Moran T.; Bennett M., 1978: Suppression of uptake of tritiated thymidine into tumor and mitogen transformed cells by supernatant fluid of bone marrow cell suspensions. Federation Proceedings 37(3): 559

Levij I.S.; Rwomushana J.; Polliack A., 1968: Spontaneous partial regression of 9 10 di methyl 1 2 benz anthracene carcino induced epithelial atypia in the hamster cheek pouch neopl squamous cell carcinoma. Israel Journal of Medical Sciences 4(4): 913-916