title: The role of laparoscopic surgery in the management of children and adolescents with inflammatory bowel disease.
abstract: Although laparoscopic surgery is readily used in the management of inflammatory bowel disease (IBD) in adults, its role in the surgical treatment of IBD in the pediatric population is not well established. The aim of this narrative review was to analyze the published evidence comparing laparoscopic and open resection in the management of children and adolescents with IBD. The Pubmed and Embase databases were searched using the terms "inflammatory bowel disease," "children," "adolescents," "laparoscopic," and "colectomy." The review identified 10 appropriate studies. Even though laparoscopic surgery generally resulted in longer operating times (between a mean of 40 and 140 min), benefits included reduced postoperative pain (mean duration of opiate use 3 vs 6 days) and reduced length of stay (median length of stay 5-8 vs 10.5-19 days) compared with open surgery. Postoperative complication rates were similar following both approaches. Due to the limited available data and the small sample size of the published series, definite recommendations are not able to be drawn. Nevertheless, current evidence indicates that laparoscopic colorectal resection is safe and feasible in the management of IBD in the paediatric population, with reductions in postoperative pain and length of hospital stay achievable.
authors.affiliation: From the Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
authors.forename: Anna E
authors.initials: AE
authors.lastname: Page
authors.forename: Shikha G
authors.initials: SG
authors.lastname: Sashittal
authors.forename: Nikolaos A
authors.initials: NA
authors.lastname: Chatzizacharias
authors.forename: R Justin
authors.initials: RJ
authors.lastname: Davies
mesh_terms: D000293:Adolescent; D002648:Child; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D010149:Postoperative Pain / Q000453:epidemiology; D011182:Postoperative Care; D012189:Retrospective Studies; D013997:Time Factors