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Clin Colon Rectal Surg 2019; 32(04): 300-304
DOI: 10.1055/s-0039-1683922
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Minimally Invasive Surgery in Complex Crohn's Disease

Ipek Sapci
1   Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
,
Emre Gorgun
1   Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio
› Author Affiliations
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Publication History

Publication Date:
02 July 2019 (online)

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Abstract

Minimally invasive approaches are safe, feasible, and often recommended as the initial choice in the surgical management of Crohn's disease. However, a consensus has not been reached as the ideal approach in the surgical treatment of complex and recurrent Crohn's disease. Laparoscopy may provide advantages such as shorter length of stay and decreased postoperative pain and result in less adhesion formation in patients with complex disease. Robotic techniques may be beneficial in selected patients for completion proctectomy, providing better visualization in the narrow pelvis and increased dexterity. Decision of surgical technique should be made on a case-by-case basis.

Keywords

robotic completion proctectomy - laparoscopic ileocecal resection - fistulizing Crohn's disease
 

  • References

  • 1 Neumann PA, Rijcken E. Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives. World J Gastrointest Pharmacol Ther 2016; 7 (02) 217-226
    CrossrefPubMedSearch in Google Scholar
  • 2 Silverberg MS, Satsangi J, Ahmad T. , et al. Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: report of a Working Party of the 2005 Montreal World Congress of Gastroenterology. Can J Gastroenterol 2005; 19 (Suppl A): 5A-36A
    CrossrefPubMedSearch in Google Scholar
  • 3 Strong SA, Koltun WA, Hyman NH, Buie WD. ; Standards Practice Task Force of The American Society of Colon and Rectal Surgeons. Practice parameters for the surgical management of Crohn's disease. Dis Colon Rectum 2007; 50 (11) 1735-1746
    CrossrefPubMedSearch in Google Scholar
  • 4 Strong S, Steele SR, Boutrous M. , et al; Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. Clinical practice guideline for the surgical management of Crohn's disease. Dis Colon Rectum 2015; 58 (11) 1021-1036
    CrossrefPubMedSearch in Google Scholar
  • 5 Gomollón F, Dignass A, Annese V. , et al; ECCO. 3rd European Evidence-based Consensus on the Diagnosis and Management of Crohn's Disease 2016: Part 1: Diagnosis and medical management. J Crohn's Colitis 2017; 11 (01) 3-25
    PubMedSearch in Google Scholar
  • 6 Milsom JW, Lavery IC, Böhm B, Fazio VW. Laparoscopically assisted ileocolectomy in Crohn's disease. Surg Laparosc Endosc 1993; 3 (02) 77-80
    PubMedSearch in Google Scholar
  • 7 Neumann PA, Rijcken EJ, Bruewer M. Current status of laparoscopic surgery for patients with Crohn's disease. Int J Colorectal Dis 2013; 28 (05) 599-610
    CrossrefPubMedSearch in Google Scholar
  • 8 Dowson HM, Bong JJ, Lovell DP, Worthington TR, Karanjia ND, Rockall TA. Reduced adhesion formation following laparoscopic versus open colorectal surgery. Br J Surg 2008; 95 (07) 909-914
    CrossrefPubMedSearch in Google Scholar
  • 9 Aytac E, Stocchi L, Remzi FH, Kiran RP. Is laparoscopic surgery for recurrent Crohn's disease beneficial in patients with previous primary resection through midline laparotomy? A case-matched study. Surg Endosc 2012; 26 (12) 3552-3556
    CrossrefPubMedSearch in Google Scholar
  • 10 Beyer-Berjot L, Mancini J, Bege T. , et al. Laparoscopic approach is feasible in Crohn's complex enterovisceral fistulas: a case-match review. Dis Colon Rectum 2013; 56 (02) 191-197
    CrossrefPubMedSearch in Google Scholar
  • 11 Goyer P, Alves A, Bretagnol F, Bouhnik Y, Valleur P, Panis Y. Impact of complex Crohn's disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients. Dis Colon Rectum 2009; 52 (02) 205-210
    CrossrefPubMedSearch in Google Scholar
  • 12 Okabayashi K, Hasegawa H, Watanabe M. , et al. Indications for laparoscopic surgery for Crohn's disease using the Vienna Classification. Colorectal Dis 2007; 9 (09) 825-829
    CrossrefPubMedSearch in Google Scholar
  • 13 Melton GB, Stocchi L, Wick EC, Appau KA, Fazio VW. Contemporary surgical management for ileosigmoid fistulas in Crohn's disease. J Gastrointest Surg 2009; 13 (05) 839-845
    CrossrefPubMedSearch in Google Scholar
  • 14 Wu JS, Birnbaum EH, Kodner IJ, Fry RD, Read TE, Fleshman JW. Laparoscopic-assisted ileocolic resections in patients with Crohn's disease: are abscesses, phlegmons, or recurrent disease contraindications?. Surgery 1997; 122 (04) 682-688 , discussion 688–689
    CrossrefPubMedSearch in Google Scholar
  • 15 Hasegawa H, Watanabe M, Nishibori H, Okabayashi K, Hibi T, Kitajima M. Laparoscopic surgery for recurrent Crohn's disease. Br J Surg 2003; 90 (08) 970-973
    CrossrefPubMedSearch in Google Scholar
  • 16 Uchikoshi F, Ito T, Nezu R. , et al. Advantages of laparoscope-assisted surgery for recurrent Crohn's disease. Surg Endosc 2004; 18 (11) 1675-1679
    PubMedSearch in Google Scholar
  • 17 Moorthy K, Shaul T, Foley RJ. Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn's disease. Am J Surg 2004; 187 (01) 47-51
    CrossrefPubMedSearch in Google Scholar
  • 18 Holubar SD, Dozois EJ, Privitera A. , et al. Laparoscopic surgery for recurrent ileocolic Crohn's disease. Inflamm Bowel Dis 2010; 16 (08) 1382-1386
    CrossrefPubMedSearch in Google Scholar
  • 19 Brouquet A, Bretagnol F, Soprani A, Valleur P, Bouhnik Y, Panis Y. A laparoscopic approach to iterative ileocolonic resection for the recurrence of Crohn's disease. Surg Endosc 2010; 24 (04) 879-887
    CrossrefPubMedSearch in Google Scholar
  • 20 Chaudhary B, Glancy D, Dixon AR. Laparoscopic surgery for recurrent ileocolic Crohn's disease is as safe and effective as primary resection. Colorectal Dis 2011; 13 (12) 1413-1416
    CrossrefPubMedSearch in Google Scholar
  • 21 Pinto RA, Shawki S, Narita K, Weiss EG, Wexner SD. Laparoscopy for recurrent Crohn's disease: how do the results compare with the results for primary Crohn's disease?. Colorectal Dis 2011; 13 (03) 302-307
    CrossrefPubMedSearch in Google Scholar
  • 22 Huang R, Valerian BT, Lee EC. Laparoscopic approach in patients with recurrent Crohn's disease. Am Surg 2012; 78 (05) 595-599
    PubMedSearch in Google Scholar
  • 23 Manabe T, Ueki T, Nagayoshi K. , et al. Feasibility of laparoscopic surgery for complex Crohn's disease of the small intestine. Asian J Endosc Surg 2016; 9 (04) 265-269
    CrossrefPubMedSearch in Google Scholar
  • 24 Bellolio F, Cohen Z, Macrae HM. , et al. Outcomes following surgery for perforating Crohn's disease. Br J Surg 2013; 100 (10) 1344-1348
    CrossrefPubMedSearch in Google Scholar
  • 25 Kim DH, Cheon JH. Pathogenesis of inflammatory bowel disease and recent advances in biologic therapies. Immune Netw 2017; 17 (01) 25-40
    CrossrefPubMedSearch in Google Scholar
  • 26 Burnham JM, Shults J, Semeao E. , et al. Body-composition alterations consistent with cachexia in children and young adults with Crohn disease. Am J Clin Nutr 2005; 82 (02) 413-420
    CrossrefPubMedSearch in Google Scholar
  • 27 Louis E, Collard A, Oger AF, Degroote E, Aboul Nasr El Yafi FA, Belaiche J. Behaviour of Crohn's disease according to the Vienna classification: changing pattern over the course of the disease. Gut 2001; 49 (06) 777-782
    CrossrefPubMedSearch in Google Scholar
  • 28 Mizushima T, Nakajima K, Takeyama H. , et al. Single-incision laparoscopic surgery for stricturing and penetrating Crohn's disease. Surg Today 2016; 46 (02) 203-208
    CrossrefPubMedSearch in Google Scholar
  • 29 Gardenbroek TJ, Verlaan T, Tanis PJ. , et al. Single-port versus multiport laparoscopic ileocecal resection for Crohn's disease. J Crohn's Colitis 2013; 7 (10) e443-e448
    PubMedSearch in Google Scholar
  • 30 Rijcken E, Mennigen R, Argyris I, Senninger N, Bruewer M. Single-incision laparoscopic surgery for ileocolic resection in Crohn's disease. Dis Colon Rectum 2012; 55 (02) 140-146
    CrossrefPubMedSearch in Google Scholar
  • 31 Leo CA, Samaranayake SF, Chandrasinghe PC, Shaikh IA, Hodgkinson JD, Warusavitarne JH. Single port laparoscopic surgery for complex Crohn's disease is safe with a lower conversion rate. J Laparoendosc Adv Surg Tech A 2017; 27 (11) 1095-1100
    CrossrefPubMedSearch in Google Scholar
  • 32 Huntington JT, Boomer LA, Pepper VK, Diefenbach KA, Dotson JL, Nwomeh BC. Single-incision laparoscopic surgery (SILS) for children with Crohn's disease. Pediatr Surg Int 2016; 32 (05) 459-464
    CrossrefPubMedSearch in Google Scholar
  • 33 Rencuzogullari A, Gorgun E, Costedio M. , et al. Case-matched comparison of robotic versus laparoscopic proctectomy for inflammatory bowel disease. Surg Laparosc Endosc Percutan Tech 2016; 26 (03) e37-e40
    CrossrefPubMedSearch in Google Scholar
  • 34 de Buck van Overstraeten A, Wolthuis AM, Vermeire S. , et al. Intersphincteric proctectomy with end-colostomy for anorectal Crohn's disease results in early and severe proximal colonic recurrence. J Crohn's Colitis 2013; 7 (06) e227-e231
    PubMedSearch in Google Scholar
  • 35 Miller AT, Berian JR, Rubin M, Hurst RD, Fichera A, Umanskiy K. Robotic-assisted proctectomy for inflammatory bowel disease: a case-matched comparison of laparoscopic and robotic technique. J Gastrointest Surg 2012; 16 (03) 587-594
    CrossrefPubMedSearch in Google Scholar
  • 36 Feinberg AE, Elnahas A, Bashir S, Cleghorn MC, Quereshy FA. Comparison of robotic and laparoscopic colorectal resections with respect to 30-day perioperative morbidity. Can J Surg 2016; 59 (04) 262-267
    CrossrefPubMedSearch in Google Scholar