Reports outline colectomy study results from Cleveland Clinic
2007 NOV 19 -- Fresh data on colectomy are presented in the report 'Laparoscopic surgery for patients with Crohn's colitis: a case-matched study.' "The purpose of this study was to compare short and long-term outcomes of laparoscopic colectomy with open colectomy in patients with Crohn's disease confined to the colon We reviewed all patients undergoing laparoscopic colectomy for Crohn's disease at our institution between 1994 and 2005. Laparoscopic colectomies were matched to open colectomies by patient age, gender, American Society of Anesthesiologists score, type, and year of surgery," scientists in the United States report. "We excluded patients with concomitant small bowel disease Twenty-seven laparoscopic cases were matched with 27 open cases. There were seven conversions (26%). There was no mortality. Median operative times were significantly longer after laparoscopic colectomy (240 vs 150 min, p<0.01), and estimated blood loss was comparable (325 vs 350 ml, p=0.4). Postoperative complications were similar. Laparoscopic colectomies had shorter median length of stay (5 vs 6 days, p=0.07) and median time to first bowel movement (3 vs 4 days, p=0.4). When overall length of stay included 30-day readmissions, the difference in favor of laparoscopy became statistically significant (p=0.02). Recurrent disease requiring surgery was decreased after laparoscopy, although median follow-up was significantly shorter Laparoscopic colectomy is a safe and acceptable option for patients with Crohn's colitis," wrote Luz Moreira A. da and colleagues, Cleveland Clinic. The researchers concluded: "Longer follow-up is needed to accurately establish recurrence rates." da and colleagues published their study in the Journal of Gastrointestinal Surgery (Laparoscopic surgery for patients with Crohn's colitis: a case-matched study. Journal of Gastrointestinal Surgery, 2007;11(11):1529-33). For more information, contact A. da Luz Moreira, A30, Dept. of Colorectal Surgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland OH 44195 USA.. Publisher contact information for the Journal of Gastrointestinal Surgery is: Elsevier Science Inc., 360 Park Avenue South, New York, NY 10010-1710, USA. Keywords: United States, Colectomy, Colitis, Crohn Disease, Gastroenterology, Gastrointestinal, Gastrointestinal Surgery, Surgery. This article was prepared by Gastroenterology Week editors from staff and other reports. Copyright 2007, Gastroenterology Week via NewsRx.com.
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