title: [Comparison of the results of laparotomy and laparoscopic surgery in patients with Crohn's disease].
abstract: BACKGROUND
  Crohn's disease is an inflammatory bowel disease which may affect different parts of the gastrointestinal tract.
  
  
  OBJECTIVE
  To compare retrospectively the results of laparotomy and laparoscopic surgery performed in patients with Crohn's disease between January 1, 2005 and October 31, 2012 in the Department of Surgery, University of Szeged, Hungary.
  
  
  METHODS
  Patients were divided into two groups based on the types of surgery; 103 patients underwent laparotomy and 30 patients had laparoscopic surgery programmed. 22 patients had 24 primary acute interventions.
  
  
  RESULTS
  The mean age was significantly lower in the laparoscopic surgery group (p = 0.042). The laparoscopic ileocecal resections have been found significantly shorter than laparotomies (p = 0.033). When ileocecal resection was performed the operation time was significantly longer (p = 0.033) while hospitalization time (p = 0.025) and intensive care unit treatment time (p<0.001) were shorter and the bowel passage also started earlier in the laparoscopic group as compared to the laparotomy group.
  
  
  CONCLUSIONS
  Laparoscopic surgery results in smaller surgical trauma, better cosmetic outcome, shorter hospitalization time and not higher complication- and morbidity-rate as well as shorter operation time in certain cases. However, it requires more qualified surgical team and the operation expenses are higher.
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar VI. évfolyam Szeged.
authors.forename: Gyula
authors.initials: G
authors.lastname: Horváth
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar Sebészeti Klinika Szeged Pf. 427 6701.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Simonka
authors.affiliation: Szegedi Tudományegyetem, Általános Orvostudományi Kar Sebészeti Klinika Szeged Pf. 427 6701.
authors.forename: György
authors.initials: G
authors.lastname: Lázár
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D002432:Cecum / Q000601:surgery; D003082:Colectomy / Q000191:economics / Q000193:education / Q000379:methods; D003424:Crohn Disease / Q000191:economics / Q000601:surgery*; D005260:Female; D006801:Humans; D006814:Hungary; D007082:Ileum / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics / Q000193:education / Q000706:statistics & numerical data; D007813:Laparotomy / Q000009:adverse effects / Q000191:economics / Q000193:education / Q000706:statistics & numerical data; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D010348:Patient Care Team; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Crohn-betegség; Crohn-disease; laparoscopic surgery; laparoszkóp; minimally invasive surgery; minimálisan invazív sebészet