[Crohn disease and laparoscopic surgery].
OBJECTIVE
To evaluate possibilities of laparoscopic surgery in the treatment of Crohn's disease.


METHODS
A retrospective evaluation of the group of 14 patients, operated on in the period of 2/1997 to 2/2003.


RESULTS
In the group of 7 women and 7 men, laparoscopy was used for ileocecal resection in six cases (43%), resection of ileotransversoanastomosis in four cases (29%) and abdominal-peritoneal amputation of rectum once (7%). The surgical intervention lasted 125 min on the average. The post-operation complications were not recorded and the conversion was not necessary. The post-operation course was complicated by suppuration three times in laparotomy (21%) and once by paralytic ileus (7%), which required one reoperation. The peristaltics was resumed in the 2nd post-operation day on the average, when the patients began to refuse analgesics. The patients started to accept the liquid diet in the 3rd post-operation day on the average and stools appeared on the day 4 after the surgery. The median of post-operation hospitalization in cases of uncomplicated course was 8 days on the average. No patient was lost.


CONCLUSIONS
The laparoscopic surgery represents a safe alternative in the therapy of Crohn's disease, being associated with a more favorable post-operation course and a better cosmetic effect in this group of patients with lower age average.
Dostalík
J
J
Chirurgická klinika Fakultní nemocnice s poliklinikou, Ostrava-Poruba. jan.dostalik@fnspo.cz
Martínek
L
L
Andĕl
P
P
Vávra
P
P
Richter
V
V
Gunková
P
P
D000293:Adolescent; D000328:Adult; D000368:Aged; D003424:Crohn Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged