A nyitott és minimálisan invazív beavatkozások eredményeinek összehasonlítása Crohn-betegségben
Introduction: Crohn's disease is an inflammatory bowel disease which may affect different parts of the gastrointestinal tract. Aim: To compare retrospectively the results of laparotomy and laparoscopic surgery performed in patients with Crohn's disease between January 1, 2005 and October 3...
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| Dokumentumtípus: | Cikk |
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Akadémiai Kiadó
2014
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| Sorozat: | ORVOSI HETILAP
155 No. 1 |
| doi: | 10.1556/OH.2014.29794 |
| mtmt: | 2489994 |
| Online Access: | http://publicatio.bibl.u-szeged.hu/6775 |
| Tartalmi kivonat: | Introduction: Crohn's disease is an inflammatory bowel disease which may affect different parts of the gastrointestinal tract. Aim: To compare retrospectively the results of laparotomy and laparoscopic surgery performed in patients with Crohn's disease between January 1, 2005 and October 31, 2012 in the Department of Surgery, University of Szeged, Hungary. Method: Patients were divided into two groups based on the types of surgery; 103 patients underwent laparotomy and 30 patients had laparoscopic surgery programmed. 22 patients had 24 primary acute interventions. Results: The mean age was significantly lower in the laparoscopic surgery group (p = 0.042). The laparoscopic iliocoecal resections have been found significantly shorter than laparotomies (p = 0.033). When iliocoecal resection was performed the operation time was significantly longer (p = 0.033) while hospitalization time (p = 0.025) and intensive care unit treatment time (p<0.001) were shorter and the bowel passage also started earlier in the laparoscopic group as compared to the laparotomy group. Conclusions: Laparoscopic surgery results in smaller surgical trauma, better cosmetic outcome, shorter hospitalization time and not higher complication- and morbidity-rate as well as shorter operation time in certain cases. However, it requires more qualified surgical team and the operation expenses are higher. Orv. Hetil., 2014, 155(1), 24-29. |
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| Terjedelem/Fizikai jellemzők: | 24-29 |
| ISSN: | 0030-6002 |