The therapeutic experience of laparoscopic end ileostomy reversal surgery for Crohn′s disease
10.3760/cma.j.cn101480-20230811-00007
- VernacularTitle:克罗恩病腹腔镜单腔小肠造口还纳术的治疗体会
- Author:
Geng WANG
1
;
Xiao YAO
1
;
Jinbo GAO
1
Author Information
1. 华中科技大学同济医学院附属协和医院胃肠外科，武汉 430022
- Publication Type:Journal Article
- Keywords:
Crohn′s disease;
End ileostomy reversal surgery;
Laparoscopic surgery
- From:
Chinese Journal of Inflammatory Bowel Diseases
2024;08(4):293-295
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the therapeutic effect of laparoscopic end ileostomy reversal surgery in patients with Crohn′s disease (CD) .Methods:A retrospective analysis was conducted. Clinical data of 34 CD patients treated with end ileostomy reversal surgery at the Union Hospital of Tongji Medical College, Huazhong University of Science and Technology from January 2017 to March 2023 were collected. Patients were divided into laparoscopic group and open group based on the surgical approach, and differences in clinical data before and after surgery between the two groups were compared.Results:Twenty-one patients underwent laparoscopic surgery (laparoscopic group) , and 13 underwent direct open surgery (open group) . There were no statistical differences in the general clinical data of the patients before surgery between the two groups (all P>0.05) . Compared with the open group, patients in the laparoscopic group had higher postoperative albumin levels [ (36.66±3.09) g/L vs. (29.22±4.21) g/L, P<0.01], shorter hospital stays (8.9 d vs. 12.7 d, P<0.01) , and these differences were statistically significant. All of the patients were followed up for 30 days, postoperative wound infection occurred in 7 patients. Conclusion:Laparoscopic end ileostomy reversal surgery for CD is safe and effective and is worth promoting in clinical practice.
