Successful application of laparoscopic surgery to the treatment of XXXX with @entity292 .

@entity1 @entity4628 @entity6177 @entity292 @entity1321 @entity30
PURPOSE: The role of laparoscopic surgery in @entity1 with @entity30 remains to be defined, although increasingly difficult cases are being treated using minimally invasive techniques. We examined technical feasibility in 20 @entity1 with @entity30 associated with @entity292 . METHODS: Laparoscopic surgery was attempted in 37 @entity1 with stricturing @entity4628 or @entity30 from 1994 to 2000 after failure of strict nutritional therapy. Twenty of these @entity1 with a total of 31 intestinal @entity292 (14 ileoileal, 6 ileocolonic, 5 ileorectal, 2 ileovesical, 2 ileocutaneous, 1 gastrocolic, and 1 ileoduodenal) underwent 25 operations. Fistulas were divided intracorporeally, except for @entity292 . Fifteen @entity1 underwent ileocecal resection; six underwent strictureplasty; six underwent partial resection of the small intestine; three underwent segmental colonic resection; and one underwent resection of anastomotic recurrence. Median follow-up was 48 (range, 5-77) months. RESULTS: Oral intake was started a median of 1 (range, 1-9) day after operation, and @entity1 were discharged a median of 8 (range, 6-21) days after surgery. Four complications were observed in 25 operations (16 percent), including 1 @entity1321 , and 1 @entity6177 . There were no intraoperative or postoperative deaths. Four of the 5 operations were converted to open surgery (16 percent). Three of the 5 @entity1 (60 percent) who required reoperation for anastomotic recurrence underwent repeated laparoscopic surgery using the same small incision. CONCLUSION: Laparoscopic treatment for @entity30 complicated by @entity292 is feasible without high complication or conversion rates. Recurrent disease requiring reoperation can also be successfully treated using laparoscopic methods.
