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- Title
Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease.
- Authors
Rosman, A.; Melis, M.; Fichera, A.; Rosman, A S
- Abstract
<bold>Background: </bold>Several studies in the literature have suggested that laparoscopic surgery for Crohn's disease is associated with faster postoperative recovery and a morbidity and recurrence rate similar to that for open surgery. Most of these studies have been limited by a small sample size and a short follow-up period.<bold>Methods: </bold>To clarify whether open or laparoscopic resection results in a better outcome, a metaanalysis of studies was performed comparing the two procedures for Crohn's disease. Pooled effects were estimated using a random-effects model.<bold>Results: </bold>Laparoscopic surgery required more operative time than open surgery (26.8 min; 95% confidence interval [CI], 6.4-47.2 min), but resulted in a shorter duration of ileus and a decreased hospital stay (-2.62 days; 95% CI, -3.62 to -1.62). Laparoscopic surgery also was associated with a decreased rate for postoperative bowel obstruction and surgical recurrences.<bold>Conclusions: </bold>Laparoscopic surgery for Crohn's disease is feasible, safe, and associated with shorter duration of ileus and a shorter hospital stay.
- Subjects
CROHN'S disease; LAPAROSCOPIC surgery; OPERATIVE surgery; SURGERY; LAPAROSCOPY; SURGICAL instruments; CLINICAL trials; COMPARATIVE studies; DIGESTIVE organ surgery; RESEARCH methodology; MEDICAL cooperation; META-analysis; RESEARCH; SURGICAL complications; EVALUATION research
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2005, Vol 19, Issue 12, p1549
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-005-0114-9