title: Laparoscopic surgery for inflammatory bowel disease--the experience in China.
abstract: BACKGROUND
  The incidence of inflammatory bowel disease (IBD) has risen rapidly in China over the last 15 years. Increasing numbers of people with IBD require surgery during their lifetime, but few reports of IBD in Eastern populations have been described to date. The aim of this study was to assess the short-term effects of the laparoscopic surgery for IBD in Chinese patients.
  
  
  METHODS
  From February 2010 to March 2012, 35 patients with IBD underwent laparoscopic operations and the clinical data obtained for these patients were reviewed.
  
  
  RESULTS
  Patients with Crohn's disease (CD) (N = 21) and ulcerative colitis (UC) (N = 14) underwent laparoscopic surgery. In the CD group, the mean age was 37.4 years. Two patients (9.5%) required conversion to an open procedure. The median length of postoperative hospitalization was 9 (7-40) days. Overall morbidity was 26.3% and no patients required re-operation. In the UC group, the mean age was 55.2 years. The conversion rate was 14.3% (2/14). The median time to regular diet was 4 (3-10) days and the median length of postoperative hospitalization was 8 (7-25) days. Four patients developed postoperative complications and one patient developed ileostomy retraction requiring urgent operative intervention to rebuild the stoma.
  
  
  CONCLUSIONS
  Laparoscopic surgery in patients with IBD can be accomplished safely and with reasonable operative times, conversion rates and morbidity rates. The main advantages of the laparoscopic approach are rapid recovery, improved cosmesis, less postoperative pain, and patient satisfaction.
authors.affiliation: Department of general surgery, RuiJin hospital affiliated Shanghai Jiaotong University school of medicine, Shanghai, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Han
authors.forename: Mou-Bin
authors.initials: MB
authors.lastname: Lin
authors.forename: Yong-Gang
authors.initials: YG
authors.lastname: He
authors.forename: Hao-Bo
authors.initials: HB
authors.lastname: Zhang
authors.forename: Ya-Jie
authors.initials: YJ
authors.lastname: Zhang
authors.forename: Lu
authors.initials: L
authors.lastname: Yin
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D003093:Colitis, Ulcerative / Q000453:epidemiology / Q000601:surgery*; D003424:Crohn Disease / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome