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Rosman AS, Melis M, Fichera A. Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease. Surg Endosc. 2005;19(12):1549-55doi: 10.1007/s00464-005-0114-9.
Rosman, A. S., Melis, M., & Fichera, A. (2005). Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease. Surgical endoscopy, 19(12), 1549-55. https://doi.org/10.1007/s00464-005-0114-9
Rosman, A S, et al. "Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease." Surgical endoscopy vol. 19,12 (2005): 1549-55. doi: https://doi.org/10.1007/s00464-005-0114-9
Rosman AS, Melis M, Fichera A. Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease. Surg Endosc. 2005 Dec;19(12):1549-55. doi: 10.1007/s00464-005-0114-9. Epub 2005 Oct 17. PMID: 16235128.
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Surg Endosc. 2005 Dec;19(12):1549-55. doi: 10.1007/s00464-005-0114-9. Epub 2005 Oct 17.

Metaanalysis of trials comparing laparoscopic and open surgery for Crohn's disease.

Surgical endoscopy

A S Rosman, M Melis, A Fichera

Affiliations

  1. Section of Gastroenterology and Medicine Program, Bronx VAMC and Mount Sinai School of Medicine, New York, NY, USA. [email protected]

PMID: 16235128 DOI: 10.1007/s00464-005-0114-9

Abstract

BACKGROUND: Several studies in the literature have suggested that laparoscopic surgery for Crohn's disease is associated with faster postoperative recovery and a morbidity and recurrence rate similar to that for open surgery. Most of these studies have been limited by a small sample size and a short follow-up period.

METHODS: To clarify whether open or laparoscopic resection results in a better outcome, a metaanalysis of studies was performed comparing the two procedures for Crohn's disease. Pooled effects were estimated using a random-effects model.

RESULTS: Laparoscopic surgery required more operative time than open surgery (26.8 min; 95% confidence interval [CI], 6.4-47.2 min), but resulted in a shorter duration of ileus and a decreased hospital stay (-2.62 days; 95% CI, -3.62 to -1.62). Laparoscopic surgery also was associated with a decreased rate for postoperative bowel obstruction and surgical recurrences.

CONCLUSIONS: Laparoscopic surgery for Crohn's disease is feasible, safe, and associated with shorter duration of ileus and a shorter hospital stay.

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