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Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum

The objective of this study was to evaluate the possibility to undertake an ileocolic resection in complex Crohn's disease using a minimal open abdominal access using standard laparoscopic instruments. The incision was carried out over the previous McBurney scar, with a mean length of 6 cm. Sev...

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Autores principales: Sica, Giuseppe S., Di Carlo, Sara, D'Ugo, Stefano, Arcudi, Claudio, Siragusa, Leandro, Fazzolari, Laura, Biancone, Livia, Monteleone, Giovanni, Cardi, Maurizio, Sibio, Simone
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064858/
https://www.ncbi.nlm.nih.gov/pubmed/32190040
http://dx.doi.org/10.1155/2020/6019435
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author Sica, Giuseppe S.
Di Carlo, Sara
D'Ugo, Stefano
Arcudi, Claudio
Siragusa, Leandro
Fazzolari, Laura
Biancone, Livia
Monteleone, Giovanni
Cardi, Maurizio
Sibio, Simone
author_facet Sica, Giuseppe S.
Di Carlo, Sara
D'Ugo, Stefano
Arcudi, Claudio
Siragusa, Leandro
Fazzolari, Laura
Biancone, Livia
Monteleone, Giovanni
Cardi, Maurizio
Sibio, Simone
author_sort Sica, Giuseppe S.
collection PubMed
description The objective of this study was to evaluate the possibility to undertake an ileocolic resection in complex Crohn's disease using a minimal open abdominal access using standard laparoscopic instruments. The incision was carried out over the previous McBurney scar, with a mean length of 6 cm. Seventy-two patients with complicated Crohn's disease underwent IC resection in the considered period; 12 patients had a McBurney scar due to a previous appendectomy and represented the group of study. Feasibility and safety of the procedure were evaluated. Clinical data and outcome were compared with a control arm of 15 patients who had a standard laparoscopic IC resection, pooled out from our database among those who had a McBurney incision as service incision. Mean operative time and postoperative stay were significantly shorter in the study group. Blood loss and operative costs were also lower in the study group but did not reach statistical significance. Minimal open access ileocolic resection (MOAIR) through a small McBurney incision seems safe and feasible in complex Crohn's disease. Some advantages over standard laparoscopic surgery could be found in surgical outcomes and costs.
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spelling pubmed-70648582020-03-18 Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum Sica, Giuseppe S. Di Carlo, Sara D'Ugo, Stefano Arcudi, Claudio Siragusa, Leandro Fazzolari, Laura Biancone, Livia Monteleone, Giovanni Cardi, Maurizio Sibio, Simone Gastroenterol Res Pract Research Article The objective of this study was to evaluate the possibility to undertake an ileocolic resection in complex Crohn's disease using a minimal open abdominal access using standard laparoscopic instruments. The incision was carried out over the previous McBurney scar, with a mean length of 6 cm. Seventy-two patients with complicated Crohn's disease underwent IC resection in the considered period; 12 patients had a McBurney scar due to a previous appendectomy and represented the group of study. Feasibility and safety of the procedure were evaluated. Clinical data and outcome were compared with a control arm of 15 patients who had a standard laparoscopic IC resection, pooled out from our database among those who had a McBurney incision as service incision. Mean operative time and postoperative stay were significantly shorter in the study group. Blood loss and operative costs were also lower in the study group but did not reach statistical significance. Minimal open access ileocolic resection (MOAIR) through a small McBurney incision seems safe and feasible in complex Crohn's disease. Some advantages over standard laparoscopic surgery could be found in surgical outcomes and costs. Hindawi 2020-02-28 /pmc/articles/PMC7064858/ /pubmed/32190040 http://dx.doi.org/10.1155/2020/6019435 Text en Copyright © 2020 Giuseppe S. Sica et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Sica, Giuseppe S.
Di Carlo, Sara
D'Ugo, Stefano
Arcudi, Claudio
Siragusa, Leandro
Fazzolari, Laura
Biancone, Livia
Monteleone, Giovanni
Cardi, Maurizio
Sibio, Simone
Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title_full Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title_fullStr Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title_full_unstemmed Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title_short Minimal Open Access Ileocolic Resection in Complicated Crohn's Disease of the Terminal Ileum
title_sort minimal open access ileocolic resection in complicated crohn's disease of the terminal ileum
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064858/
https://www.ncbi.nlm.nih.gov/pubmed/32190040
http://dx.doi.org/10.1155/2020/6019435
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