title: [Minimally invasive surgical treatment of ulcerative colitis--long-term results].
abstract: BACKGROUND
  For the surgical treatment of ulcerative colitis, laparoscopy is used more widely, but less data are available on long-term results in Hungary.
  
  
  OBJECTIVE
  The aim of the authors was to compare the mean 47.8-month follow-up results of patients treated with conventional and minimally invasive surgical methods.
  
  
  METHODS
  Between January 1, 2005 and December 31, 2014, 56 patients were treated with surgery (20 emergencies, and 36 elective cases). Laparoscopy was used in 33 and conventional method in 23 cases.
  
  
  RESULTS
  There was no difference between the two groups in hospital and intensive care unit stay, bowel function recovery, need for transfusion, and complications during the perioperative period. Regarding long-term complications, the occurrence of intestinal obstruction, septic condition and other complications were significantly fewer in the laparoscopy group. The quality of life improved in both groups after the surgery.
  
  
  CONCLUSIONS
  Laparoscopy can be used safely; it provides good quality of life and better cosmetic results, and the long-term rate of complications is lower as compared to open surgery.
authors.affiliation: Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Szőkefalvi-Nagy u. 6., 6720.
authors.forename: János
authors.initials: J
authors.lastname: Tajti
authors.affiliation: Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Szőkefalvi-Nagy u. 6., 6720.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Simonka
authors.affiliation: Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Szőkefalvi-Nagy u. 6., 6720.
authors.forename: Attila
authors.initials: A
authors.lastname: Paszt
authors.affiliation: Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Szőkefalvi-Nagy u. 6., 6720.
authors.forename: Szabolcs
authors.initials: S
authors.lastname: Ábrahám
authors.affiliation: I. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
authors.forename: Klaudia
authors.initials: K
authors.lastname: Farkas
authors.affiliation: I. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Szepes
authors.affiliation: I. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
authors.forename: Tamás
authors.initials: T
authors.lastname: Molnár
authors.affiliation: I. Belgyógyászati Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged.
authors.forename: Ferenc
authors.initials: F
authors.lastname: Nagy
authors.affiliation: Sebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Szőkefalvi-Nagy u. 6., 6720.
authors.forename: György
authors.initials: G
authors.lastname: Lázár
mesh_terms: D000328:Adult; D000368:Aged; D001803:Blood Transfusion / Q000706:statistics & numerical data; D003082:Colectomy / Q000009:adverse effects / Q000379:methods*; D003093:Colitis, Ulcerative / Q000503:physiopathology / Q000601:surgery*; D039021:Colonic Pouches; D003672:Defecation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007081:Ileostomy; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007415:Intestinal Obstruction / Q000453:epidemiology / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011788:Quality of Life; D020127:Recovery of Function; D012189:Retrospective Studies; D018805:Sepsis / Q000453:epidemiology / Q000209:etiology
keywords: J-pouch; colitis ulcerosa; ileo-pouch anal anastomosis; ileoanalis anastomosis; laparoscopy; laparoszkópia; ulcerative colitis