Comparison of laparoscopic and open ileocecal resection for Crohn’s disease in children

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61388971%3A_____%2F23%3A00571451" target="_blank" >RIV/61388971:_____/23:00571451 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/23:10457275 RIV/00216208:11140/23:10457275 RIV/00669806:_____/23:10457275 RIV/00064203:_____/23:10457275

Result on the web

<a href="https://link.springer.com/article/10.1007/s00383-023-05419-9" target="_blank" >https://link.springer.com/article/10.1007/s00383-023-05419-9</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00383-023-05419-9" target="_blank" >10.1007/s00383-023-05419-9</a>

Result language

angličtina

Original language name

Comparison of laparoscopic and open ileocecal resection for Crohn’s disease in children

Original language description

Purpose: Ileocecal resection (ICR) is the most frequently performed surgery in paediatric Crohn’s disease (CD) patients. The aim of the study was to compare laparoscopic-assisted and open ICR. Methods: Retrospective review of consecutive CD patients undergoing ICR between March 2014 and December 2021 was performed. The patients were divided into open (OG) and laparoscopic (LG) groups. Compared parameters included patients’ demographics, clinical characteristics, surgery, duration of hospitalisation and follow-up. Complications were classified according to the Clavien–Dindo classification (CDc). Risk factors were identified using multivariable analysis. Results: Sixty-two patients (29 females, 46.7%) were included in the analysis, forty-two patients in OG. The median duration of surgery was 130 in OG versus 148 in LG (p = 0.065) minutes. Postoperative complications were reported in 4 patients (12.1%). There was no significant difference in postoperative complications according to CDc (OG 7.14 vs LG 5%, p = 1). The median length of hospitalisation was 8 in OG and 7 days in LG (p = 0.0005). The median length of follow-up was 21.5 months. Conclusion: The laparoscopic-assisted approach had shorter hospital stay and was not associated with increased risk of 30-day postoperative complications. Laparoscopic surgery should be considered the preferred surgical approach for primary ICR.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30209 - Paediatrics

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2023

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Pediatric Surgery International

ISSN

0179-0358

e-ISSN

1437-9813

Volume of the periodical

39

Issue of the periodical within the volume

1

Country of publishing house

DE - GERMANY

Number of pages

8

Pages from-to

140

UT code for WoS article

000940374700002

EID of the result in the Scopus database

2-s2.0-85148973447