Short- and long-term outcomes of laparoscopic surgery for intestinal XXXX : a comparative study with open surgery.

@entity1 @entity9645 @entity190 @entity260 @entity292 @entity2403
INTRODUCTION: Surgical treatment of intestinal @entity2403 ( @entity2403 ) is not well established. Specifically, it is still difficult to assess the clinical value of laparoscopic surgery to address this condition. We aimed to evaluate the clinical course and the characteristics of laparoscopic surgery for intestinal @entity2403 compared with open surgery. METHODS: We reviewed charts of 91 @entity1 who underwent surgical treatment for intestinal @entity2403 between January 1995 and December 2012. We retrospectively compared the laparoscopic group (LG, n  =  30) and the open group (OG, n  =  61) in terms of @entity1 demographics, clinical features, operative data, postoperative course, complications within 30  days after operation, and long-term follow-up data. RESULTS: There were more females in the LG than in the OG (63.3 vs. 36.1  %, p  =  0.014), and @entity9645 were more frequent in the LG (76.7 vs. 54.1  %, p  =  0.038; 60 vs. 36.1  %, p  =  0.031). Intractability with medical treatment was dominant in the LG (76.7 vs. 45.9  %, p  =  0.02), while intestinal perforation or @entity292 were more prevalent in the OG (10 vs. 44.3  %, p  =  0.001). Most @entity1 received an ileocecectomy or a right hemicolectomy as their first surgery. In the LG, the @entity1 had a shorter operation time (162.0 vs. 228.5  min, p  <  0.001) and had less @entity190 (61.7 vs. 232.3  ml, p  =  0.003). There were no significant @entity260 , reoperation, mortality, and hospital stay between the groups. During the follow-up period, the mean number of operations was less in the LG than in the OG (1.3 vs. 2.1, p  =  0.011). Analysis indicated that 20  % of @entity1 in the LG and 50.8  % in the OG underwent more than two operations (p  =  0.005). CONCLUSION: Laparoscopic surgery is feasible and safe for selected intestinal @entity2403 @entity1 . However, there were no better short-term outcomes in LG compared with OG.
