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. 2011 Mar 7;17(9):1116–1125. doi: 10.3748/wjg.v17.i9.1116

Table 1.

Overview of most important study results dealing with laparoscopic and open surgical management of inflammatory bowel diseases

Author Yr Patients Findings
Crohn’s disease
Umanskiy et al[8] 2010 55 lap colect Early postop. results favourable for laparoscopy
70 open colect
El-Gazzaz et al[12] 2010 643 matched cases open and laparosc Anastomotic leak rates even for open and lap surgery
Nguyen et al[13] 2009 335 laparoscopic Postop compl. rate 13% (leaks, obstruction, bleeding)
Eshuis et al[14] 2010 29 laparoscopic Better cosmesis for laparoscopy, more hernias and obstructions in open surgery
26 open
Stocchi et al[15] 2008 Follow-up, randomized study Open colectomy patients significantly more frequently requiring multiple reoperations, otherwise results similar
27 lap, 29 open
Goyer et al[16] 2009 54, complex CD In complex disease, significantly longer OR time, conversion rate and stoma frequency
70, uncomplicated
Holubar et al[17] 2010 30 lap completed Significantly more adhesions and length of stay in conversion, complication rates even
10 converted
Nakajima et al[21] 2010 14 open Significantly longer OR time in laparoscopic cases, significantly less blood loss in lap. and hand-assisted cases
6 lap
18 hand-assisted
Canedo et al[23] 2010 127 BMI < 25 kg/m2 More conversions in obesity, no differences in postop. complications and hospital stays
67 BMI > 25 kg/m2, < 30 kg/m2
19 BMI > 30 kg/m2
Lesperance et al[24] 2009 Nationwide study Less complications, shorter hospital stays, lower charges and mortality in laparosopy, applied mainly in younger female patients with ileocecal disease at lower stage
49.609 surg. cases
2.826 lap cases
Tan et al[25] 2007 Metaanalysis Conversion rate 11.2%, lap. surgery with significantly longer OR time, more rapid recovery, shorter hospital stay and lower morbidity, similar recurrence rates
14 studies
881 patients
Ulcerative colitis
Holubar et al[43] 2009 Total proctocolect Median OR time 329 min, hospital stay 5 d, major complications in 9%, no mortality
23 hand-assisted
13 lap-assisted
8 lap-“incisionless”
Berdah et al[45] 2009 68 RPC + pouch 30% complication rate, all patients resuming preop. grade of activity, 90% satisfaction “good/very good”
Fichera et al[46] 2009 RPC + pouch In laparoscopy, faster resumption of bowel function, less blood loss and lower rate of hernias in follow-up
73 lap, 106 open
Larson et al[47] 2008 RPC + pouch Long-term data, worse sexual functional results in lap. cases, better body image and quality of life
100 lap, 189 open
Indar et al[48] 2008 34, RPC + pouch Adhesion evaluation at ileostomy closure : 68% no and 32% few adhesions, lower than in open surgery
Tsuruta et al[49] 2009 30, HALS-RPC OR time significantly longer for lap-RPC, incision length significantly longer for HALS-RPC
40, Lap-RPC
Watanabe et al[50] 2009 Emergency colect For HALS, OR time significantly longer, postop. complication rate significantly lower
30 HALS, 30 open
Holubar et al[51] 2009 Fulminant colitis, 36 lap-assist. colect Conversion rate 6%, median lengths of stay 4 d in both 14 HALS colect. groups, subsequent completion proctectomy in 42 pat
Chung et al[52] 2009 Severe UC Faster recovery and progression to completion of RPC in lap. colectomies patients
37 lap., 41 open
Wu et al[56,57] 2008 Metaanalysis Overall complication rate higher in open surgery duration of lap surgery significantly extended
2010 16 controlled trials
Ahmed Ali et al[58] 2009 Cochrane review OR time significantly longer in lap. surgery, no differences in postop. course or recovery between lap. and open procedures
11 studies, 607 pat
253 laparoscopic

CD: Crohn’s disease; UC: Ulcerative colitis; OR: Operation room; BMI: Body mass index; HALS: Hand-assisted laparoscopic surgery; RPC: Restorative proctocolectomy.