Several studies have compared conventional open ileocolic resection with a laparoscopic-assisted approach.
Long-term outcome after laparoscopic-assisted ileocolic resection remains to be determined.
|Cosmesis cores were significantly higher in the laparoscopic group|
|Diseases of the Colon & Rectum |
Dr Emma Eshuis and colleagues from the Netherlands compared long-term results of surgical recurrence, quality of life, body image, and cosmesis in patients who underwent laparoscopic-assisted or open ileocolic resection for Crohn's disease.
The team analyzed 78 consecutive patients who underwent ileocolic resection during the period 1995 to 1998.
The research team reported that 48 patients underwent a conventional open approach in the Academic Medical Center.
A further 30 patients underwent a laparoscopic-assisted approach in the Leiden University Medical Center.
Primary outcome parameters were reoperation and readmission rate.
Secondary outcome parameters were quality of life, body image, and cosmesis.
The researchers found that the 2 groups were comparable for characteristics of sex, age, and immunosuppressive therapy.
The team noted that 71 patients had a complete follow-up of median 9 years.
The team performed resection for recurrent Crohn's disease in 22%, and 23% patients in the laparoscopic and open groups, respectively.
Reoperations for incisional hernia were only performed after conventional open ileocolic resection.
Quality of life and body image were comparable, but cosmesis scores were significantly higher in the laparoscopic group.
Dr Eshuis' team concluded, "Despite small numbers, we found that surgical recurrence and quality of life after laparoscopic-assisted and open ileocolic resection were comparable."
"Incisional hernias occurred only after open ileocolic resection, and laparoscopic-assisted ileocolic resection resulted in a significantly better cosmesis."