Table 2.
Personal series of paediatric inflammatory bowel disease treated laparoscopically
| UC | CD | IBD-U | Overall | ||
| Patients | 39 | 20 | 2 | 61 | |
| Males | 25 | M:F ratio 0.7:1 | |||
| Females | 36 | ||||
| Age at surgery (yr) | 9.5 (1.1-20.2) | ||||
| Indications | |||||
| Haemorrhagic colitis | 26 | 3 | 2 | 31 | |
| Failure of treatment | 13 | 3 | 0 | 16 | |
| Obstruction/strictures | 0 | 13 | 0 | 13 | |
| Other | 0 | 11 | 0 | 1 | |
| Procedures | |||||
| LSTC | 39 | 4 | 2 | 45 | Overall 98 procedures |
| Median operative time (min) (range) | 215 (80-350) | ||||
| Median length of hospitalization (d) (range) | 8.5 (3-11) | ||||
| JPIRA | 38 | 0 | 0 | 38 | |
| Median operative time (min) (range) | 195 (130-260) | ||||
| Median length of hospitalization (d) (range) | 3.5 (2-11) | ||||
| Segmental resection | 0 | 15 | 0 | 15 | |
| Median operative time (min) (range) | 145 (85-205) | ||||
| Median length of hospitalization (d) (range) | 7 (2-15) | ||||
| Complications (18 events), n (%) of procedures | 8 (13) | 4 (30) | 1 (50) | 18% of procedures | P = 0.08062 |
| Stoma-related issues (6 events), n (%) of procedures) | 4 (11) | 1 (33) | 1 (50) | 14% of procedures | P = 0.63223 |
Pelvic abscess due to fistulising CD;
Statistical analysis was performed to compare the prevalence of complications in CD and UC;
Statistical analysis was performed to compare the prevalence of complications related to the stoma (14.3%) and that of complications related to other aspect of surgery (12.2%). Overall, we performed 98 primary laparoscopic procedures and 6 laparoscopic management of surgical complications. Complications were experienced by 21% of our patients following 18% of procedures. Though without statistical significance, complications were more likely to occur in patients with CD when compared to those with UC (30% vs 13%). UC: Ulcerative colitis; CD: Crohn disease; IBD-U: Inflammatory bowel disease - unclassified; LSTC: Laparoscopic SubTotal colectomy; JPIRA: J-Pouch Ileo-Rectal restorative anastomosis.