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Surgical Endoscopy

Published in:

01-12-2005

Metaanalysis of trials comparing laparoscopic and open surgery for Crohn’s disease

Authors: A. S. Rosman, M. Melis, A. Fichera

Published in: Surgical Endoscopy | Issue 12/2005

Abstract

Background:

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.

Methods:

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.

Results:

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.

Conclusions:

Laparoscopic surgery for Crohn’s disease is feasible, safe, and associated with shorter duration of ileus and a shorter hospital stay.

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Title: Metaanalysis of trials comparing laparoscopic and open surgery for Crohn’s disease
Authors: A. S. Rosman
M. Melis
A. Fichera
Publication date: 01-12-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 12/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0114-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Metaanalysis of trials comparing laparoscopic and open surgery for Crohn’s disease

Abstract

Background:

Methods:

Results:

Conclusions:

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background:

Methods:

Results:

Conclusions:

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