[The conservative surgery of XXXX : the long-term results].

@entity1 @entity5277 @entity30 @entity260
INTRODUCTION: @entity1 with @entity30 ( @entity30 ) receive one or more surgical interventions throughout their clinical history. Conservative surgery has recently been proposed as a safe and effective option for the treatment of complicated @entity30 and for the prevention of @entity5277 and stoma. @entity1 AND METHODS: One hundred nineteen @entity1 affected by @entity30 were treated with stricture plasty and mini-resection in our Department between January 1993 and January 1998. At admission, the prior complete clinical and surgical history of each @entity1 was collected and then inserted in a prospectively maintained data base. Analysis of recurrence was made using the Kaplan-Meier function and the influence of certain variables on the risk of recurrence was analyzed using a Cox proportional hazard model. RESULTS: Perioperative mortality was nil, @entity260 occurred in 8 @entity1 (6.7%). Overall long term surgical recurrence at 5 years was 28%, 35% in @entity1 operated on within one year and 15% in those treated after one year from the diagnosis (p < .05). CONCLUSIONS: Stricture plasty and minimal resections show lower perioperative @entity260 similar to resective surgery. From risk factor analysis, a group of @entity1 with high risk of surgical recurrence emerged. In this group and whenever technically possible, we consider stricture plasty and minimal resection the gold standard in the treatment of complicated @entity30 .
