Several studies suggest that laparoscopic surgery for Crohn's disease is associated with faster postoperative recovery.
These studies also suggest that morbidity and recurrence rates are similar to that for open surgery.
Most of these studies have been limited by a small sample size and a short follow-up period.
Dr Rosman and colleagues considered whether open or laparoscopic resection results in a better outcome.
The research team conducted a metaanalysis of studies comparing the 2 procedures for Crohn's disease.
|Laparoscopy was associated with decreased rate for postoperative bowel obstruction|
Pooled effects were estimated using a random-effects model.
Laparoscopic surgery required more operative time than open surgery.
The researchers found that laparoscopic surgery resulted in a shorter duration of ileus and a decreased hospital stay.
In addition, the team noted that laparoscopic surgery was associated with a decreased rate for postoperative bowel obstruction and surgical recurrences.
Dr Rosman's team concludes, “Laparoscopic surgery for Crohn's disease is feasible, safe, and associated with shorter duration of ileus and a shorter hospital stay.”