caa a22 4500 475780477 CHVBK 20180406123642.0 cr unu---uuuuu 170329e20001001xx s 000 0 eng 10.1007/s004640000262 doi (NATIONALLICENCE)springer-10.1007/s004640000262 Laparoscopic-assisted vs open colectomy for severe acute colitis in patients with inflammatory bowel disease (IBD) [Elektronische Daten] A retrospective study in 42 patients [M. Dunker, W. Bemelman, J. Slors, R. van Hogezand, J. Ringers, D. Gouma] Background: Inflammatory bowel disease (IBD) can be complicated by severe acute colitis. Emergency colectomy is mandatory if patients do not respond to intensive medical therapy. A minimally invasive approach such as laparoscopic-assisted colectomy might be beneficial in these patients. Therefore, we set out to assess the feasibility and the safety of emergency laparoscopic-assisted colectomy in IBD patients with severe acute colitis. Methods: A total of 42 consecutive patients underwent an emergency colectomy with end-ileostomy. Ten patients had laparoscopic-assisted colectomy, and 32 had open colectomy. Pre- and perioperative parameters, morbidity, and mortality were analyzed. Results: The two groups were comparable for patient characteristics. There were no conversions in the laparoscopic group. The operation time was longer in the laparoscopic group than in the open group (271 vs 150 min; p<0.001), but the hospital stay was shorter (14.6 vs 18.0 days; p=0.05). Complications were similar for the two groups. Conclusion: Laparoscopic-assisted colectomy in IBD patients with severe acute colitis is feasible and as safe as open colectomy. Springer-Verlag, 2000 Inflammatory bowel disease nationallicence Colitis nationallicence Laparoscopic surgery nationallicence Dunker M. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut Bemelman W. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut Slors J. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut van Hogezand R. Department of Gastroenterology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands aut Ringers J. Department of Surgery, Leiden University, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands aut Gouma D. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 911-914 0930-2794 14:10<911 2000 14 464 https://doi.org/10.1007/s004640000262 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000262 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dunker M. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Bemelman W. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Slors J. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- van Hogezand R. Department of Gastroenterology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands aut NATIONALLICENCE 700 1- Ringers J. Department of Surgery, Leiden University, Albinusdreef 2, 2333 ZA, Leiden, The Netherlands aut NATIONALLICENCE 700 1- Gouma D. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/10(2000-10-01), 911-914 0930-2794 14:10<911 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer