What is the efficacy of a laparoscopic surgical approach in Crohn disease?

Updated: Jul 26, 2019
  • Author: Leyla J Ghazi, MD; Chief Editor: Praveen K Roy, MD, AGAF  more...
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Answer

The laparoscopic approach to Crohn disease has been shown to be feasible as well as safe. [141, 142] Complications of Crohn disease such as abscesses, phlegmons, and recurrent disease have been safely treated laparoscopically and are not contraindications to laparoscopy in these patients.

Although open resection is still performed by many surgeons and should be considered the criterion standard, the laparoscopic approach is being employed with increasing frequency. In children, laparoscopic intestinal resections have been used for proctectomy and pull-through procedures in Hirschsprung disease for more than a decade. [143] Segmental intestinal resections in Crohn disease can easily be accomplished as well.


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