title: Laparoscopic surgical treatment of ileocecal Crohn's disease: Impact of obesity on short term results.
abstract: BACKGROUND
  The aim of our study was to analyse the short-term outcomes of laparoscopic surgery for a no medical responding ileocolic Cohn's disease in a single centre according to the presence of obesity.
  
  
  METHODS
  A cross-sectional study was performed including all consecutive patients who underwent laparoscopic resection for ileocecal Crohn's disease from November 2006 to November 2015. Patients were divided according to body mass index ≥ 30 kg/m2in order to study influence of obesity in the short-term outcomes. The following variables were studied: characteristics of patients, surgical technique and postoperative results (complications, reintervention, readmission and mortality) during first 30 postoperative days.
  
  
  RESULTS
  A total of 100 patients were included (42 males) with a mean age of 39.7±15.2 years (range 18-83). The overall complication rate was 20% and only 3 patients had an anastomotic leak. Seven patients needed reoperation in the first 30 days postop (7%). The median postoperative length of hospitalization was 5.0 days. Operative time was significantly longer in patients with obesity (130 vs. 165minutes, P=.007) but there were no significant differences among the postoperative results in patients with and without obesity.
  
  
  CONCLUSIONS
  This study confirmed that laparoscopic approach for ileocecal Cohn's disease is a safety and feasible technique in patients with obesity. In this last group of patients we only have to expect a longer operative time.
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido. Electronic address: dapares@gmail.com.
authors.forename: David
authors.initials: D
authors.lastname: Parés
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Awad
authors.initials: A
authors.lastname: Shamali
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Karen
authors.initials: K
authors.lastname: Flashman
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Daniel
authors.initials: D
authors.lastname: O'Leary
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Asha
authors.initials: A
authors.lastname: Senapati
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: John
authors.initials: J
authors.lastname: Conti
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Amjad
authors.initials: A
authors.lastname: Parvaiz
authors.affiliation: Department of Colorectal Surgery, Queen Alexandra Hospital, Portsmouth NHS Trust, Southwick Hill Road, Cosham, Portsmouth, Reino Unido.
authors.forename: Jim
authors.initials: J
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002429:Cecal Diseases / Q000150:complications* / Q000601:surgery*; D003424:Crohn Disease / Q000150:complications* / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D006801:Humans; D007077:Ileal Diseases / Q000150:complications* / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Cirugía; Crohn's disease; Enfermedad de Crohn; Laparoscopia; Laparoscopy; Obesidad; Obesity; Resultados; Results; Surgery