title: [Outcomes of laparoscopy combined with enhanced recovery pathway for Crohn's disease: a case-matched analysis].
abstract: OBJECTIVE
  To compare short-term outcomes of laparoscopic vs. open intestinal resection in patients with Crohn's disease (CD) under enhanced recovery after surgery(ERAS) program.
  
  
  METHODS
  Clinical data of 51 CD patients receiving laparoscopic surgery under ERAS program at our IBD center between January 2013 and March 2014 were retrospectively analyzed. Laparoscopic cases were matched to those undergoing open surgery from June 2011 to December 2012 with age, gender, location and behavior of disease. Intraoperative and postoperative data were collected.
  
  
  RESULTS
  Fifty-one laparoscopic cases were matched with 51 open cases. Laparoscopic group had a shorter median length of postoperative hospital stay (7 d vs. 9 d, P=0.034), shorter median time to first passage of gas(45 h vs. 59 h, P=0.024), shorter time to bowel movement(58 h vs. 76 h, P=0.018), less intraoperative estimated blood loss (35 ml vs. 75 ml, P=0.034) and longer median operative time (145 min vs. 105 min, P=0.003). Postoperative complications, reoperation and 30-day re-admission rates were similar and there was no mortality in the two groups.
  
  
  CONCLUSIONS
  Laparoscopic surgery is a safe and acceptable option for CD patients, and it promotes recovery of gastrointestinal movement and shortens postoperative hospital stay.
authors: Department of General Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing 210002, China. juwiming@126.com.
authors: Jianfeng
authors: J
authors: Gong
authors: Lili
authors: L
authors: Gu
authors: Yi
authors: Y
authors: Li
authors: Lei
authors: L
authors: Cao
authors: Zhihao
authors: Z
authors: Xie
authors: Dong
authors: D
authors: Guo
authors: Tenghui
authors: T
authors: Zhang
authors: Jianbo
authors: J
authors: Yang
authors: Weiming
authors: W
authors: Zhu
authors: Ning
authors: N
authors: Li
authors: Jieshou
authors: J
authors: Li
mesh_terms: D016022:Case-Control Studies; D003424:Crohn Disease; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D061646:Operative Time; D011183:Postoperative Complications; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome