Published in:
01-04-2012
Determinants for postoperative complications after laparoscopic intestinal resection for Crohn’s disease
Published in: Surgical Endoscopy | Issue 4/2012
Login to get accessAbstract
Background
There is lack of studies that define parameters predictive of complications following laparoscopic resection for Crohn’s disease.
Methods
Between 1998 and 2008, 182 patients underwent laparoscopic intestinal resection for Crohn’s disease at a single institution. Conversion occurred in 12 patients (6.6%). We aimed to identify risk factors for short-term postoperative complications (<30 days) by using univariate and multiple regression tests. Complications were defined according to the Clavien–Dindo classification (grades I–V). Data were obtained from an institutional database and individual chart review retrospectively.
Results
There were 25 (13.7%) complications after surgery. According to the Clavien–Dindo classification, complications were classified as grade I in 9 patients, grade II in 9 patients, and grade IIIb in 7 patients. There were no deaths after laparoscopic surgery. A low level of hemoglobin after surgery (r
s = −0.15, P = 0.0441) and an elevated CRP before surgery (r
s = −0.16, P = 0.0346) seemed to increase the likelihood of postoperative complications.
Conclusion
Laparoscopic surgery can be performed safely in Crohn’s disease patients. An increased inflammation process before operation seems to be associated an eventful postoperative course.