How does the laparoscopic approach compare to open resection for management of Crohn disease?

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

No difference in recurrence rates has been found in adults undergoing laparoscopic as opposed to open ileocolic resection, and the laparoscopic approach has been found to shorten the duration of postoperative ileus significantly. [144, 145] Adult patients who undergo laparoscopic ileocecectomy tend to experience a better quality of life than those who undergo the equivalent open procedure. In addition, patients undergoing laparoscopic resection report that they are more satisfied with the physical appearance of their surgical scar. [146]

A study comparing laparoscopic ileocolic resection with infliximab in the treatment of distal ileitis is in progress in the Netherlands. The primary outcomes of the study are quality of life and costs, with recurrence being a secondary outcome. [147] To date, no data have been published on recurrence rates in children undergoing open versus laparoscopic resection.


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