Single incision laparoscopic surgery (SILS) as surgical option in Crohn’s disease: our experience
Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
Wiely-Blackwell
Abstract
AIM: Single Incision Laparoscopic Surgery (SILS) is a newer mini-invasive. Benefits of SILS in complex Crohn’s disease (CCD), which includes a significant cohort of young patients sometimes needing multiple operations has not been comprehensively assessed. This study analyses our early experience. METHOD: Data were collected prospectively from January 2013 to December 2015. Ileocolic resections, right hemicolectomy, small bowel stricturoplasties and resections SILS were included in the CCD cohort. Primary and re-do surgeries were analysed separately. RESULTS: A total of 45 patients were included: 39 ileocolic resections, 6 small bowel stricturoplasty/resections. Median hospital stay was 8 days (Range - 3 days – 28 days). Three patients from primary (11%) and 2 from re-do group (11%) had to be converted to open surgery. Total complication rate was 35.5% including 31.1% ClavienDindo 1 and 2. In term of operating time, average blood loss, conversion rates, complication rate and hospital stay, there was no significant difference between the groups. Six months follow-up showed no major complications. CONCLUSION: We have demonstrated the feasibility of SILS in patients with CCD. There were no significant differences between primary and re-do surgeries. More robust data and longer follow-up is needed in future studies to evaluate this further.
Description
Poster Abstract (P050) of the 11th Scientific and Annual Meeting of the European Society of Coloproctology, September 28–30, 2016, Milan, Italy
Keywords
Crohn’s Disease, Crohn’s Disease-surgery, Laparoscopy
Citation
Colorectal Disease. 2016; 18(S1):52