Laparoscopic resection for @entity66 : follow-up of 500 consecutive XXXX .

@entity1 @entity66 @entity254 @entity4558 @entity14 @entity4436
OBJECTIVE: To examine morbidity, mortality, conversion rates, and disease recurrence after laparoscopic resection of complicated and uncomplicated @entity66 in a single center. SUMMARY BACKGROUND DATA: In contrast to @entity14 , there are few large studies of laparoscopic or open resection for @entity66 . METHODS: This study represents a retrospective analysis of a prospectively collected database of all laparoscopic resections for uncomplicated and complicated @entity4436 from a single center. RESULTS: Five hundred @entity1 (305 female) were identified (median age 58; range, 26-89). Recurrent @entity4436 was the most common indication for surgery (77%), followed by perforation (10%) and fistulation (9%). Median operating time was 120 minutes (range, 45-285) and median length of hospital stay was 4 (2-33) days. The @entity4558 was routinely mobilized. There was 1 (0.2%) 30-day and in-hospital death and 55 (11%) @entity1 had major morbidity after the procedure. Conversion to an open operation was performed in 14 (2.8%) cases. Dense adhesions were the most common cause for conversion (6 @entity1 ). Among @entity1 with complicated @entity4436 , the conversion rate was 5.3%, whereas for those with uncomplicated disease, it was 2.1% (P = ns). Operating time and length of hospital stay do not differ significantly between @entity1 with complicated and uncomplicated @entity4436 . The conversion rate has come down from 8% for the first 100 cases to 1.5% for the last 400 cases (P = 0.002). To our knowledge, there have been no cases of recurrent @entity4436 . CONCLUSIONS: Laparoscopic resection even in complicated cases of @entity4436 is safe and effective. It can be achieved with short operating times and length of stay in conjunction with very low rates of morbidity and mortality. Adherence to surgical principles including routine mobilization of the @entity4558 and @entity254 onto the rectum may explain the absence of disease recurrence in our experience.
