caa a22 4500 475752937 CHVBK 20180406123529.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1007/s005950050048 doi (NATIONALLICENCE)springer-10.1007/s005950050048 Laparoscopic-assisted surgery for crohn's disease: Reduced surgical stress following ileocolectomy [Elektronische Daten] [Daisuke Kishi, Riichiro Nezu, Toshinori Ito, Eiji Taniguchi, Takuya Momiyama, Suguru Obunai, Shuichi Ohashi, Hikaru Matsuda] Recent progress in laparoscopic techniques has enabled operations for various intestinal disorders to be performed under laparoscopic assistance. This study was conducted to assess the benefits of performing laparoscopicassisted surgery (LAS) in patients with Crohn's disease. LAS was performed in 24 selected patients with Crohn's disease, most of whom underwent ileocolic resection for ileitis and/or colitis with stenosis. To determine the benefits of LAS, the postoperative inflammatory parameters of these patients were examined and compared with those of 17 patients who underwent conventional open surgery. Despite giving all patients total parenteral nutrition (TPN) for more than 2 weeks preoperatively, two patients with large inflammatory masses involving enteroenteric fistulas required conversion to laparotomy. No laparoscopic procedure was converted for adhesions after previous resection or intraoperative complications. The maximum C-reactive protein values and body temperatures were significantly lower, and the time taken to normalize body temperature and leukocyte counts was significantly shorter in the LAS group than in the laparotomy group. LAS should be performed for patients with Crohn's disease in the inactive phase after appropriate nutritional support. Patients with terminal ileitis without a fistula are considered to have the highest indication for this procedure. Springer-Verlag, 2000 laparoscopic-assisted surgery nationallicence Crohn's disease nationallicence surgical stress nationallicence Kishi Daisuke First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Nezu Riichiro First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Ito Toshinori First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Taniguchi Eiji Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Momiyama Takuya First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Obunai Suguru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Ohashi Shuichi Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut Surgery Today Springer-Verlag 30/3(2000-03-01), 219-222 0941-1291 30:3<219 2000 30 595 https://doi.org/10.1007/s005950050048 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050048 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kishi Daisuke First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Nezu Riichiro First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Ito Toshinori First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Taniguchi Eiji Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Momiyama Takuya First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Obunai Suguru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Ohashi Shuichi Department of Endoscopic Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 700 1- Matsuda Hikaru First Department of Surgery, Osaka University Medical School, 2-2 Yamada-oka, Suita, 565-0871, Osaka, Japan aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/3(2000-03-01), 219-222 0941-1291 30:3<219 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer