Table 1.
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.