Role of laparoscopic surgery in the treatment of ulcerative colitis; Short- and mid-term results

János Tajti, Zsolt Simonka, Attila Paszt, Szabolcs Ábrahám, Klaudia Farkas, Zoltán Szepes, Tamás Molnár, Ferenc Nagy, György Lázár

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objectives. Laparoscopy is used more widely for the surgery of ulcerative colitis. The objective of this study was a comparison of the surgical and 3-year follow-up results of patients treated with conventional and minimally invasive methods. Materials and methods. A total of 45 patients received surgery for ulcerative colitis, 16 as emergency and 29 as elective cases. Laparoscopy was used in 23 and a conventional method in 22 cases. No difference was found between the two groups from the aspects of American Society of Anesthesiologists physical status (ASA) class, mean body mass index (BMI) and age. There were 4 emergency cases in the laparoscopy group, and 12 in the open group. Nineteen elective surgeries were performed in the laparoscopy group, and 10 in the open group. Results. There was no significant difference between the groups as concerns the length of hospital or intensive care unit (ICU) stay, the time to bowel function recovery, but the duration of open surgery was significantly shorter. There was no difference between the groups in the rate of early postoperative complications, whereas among potential late complications, the rates of intestinal obstruction (8.7% vs. 45%) and a septic condition (0% vs. 27%) were significantly lower in the laparoscopy group. There was a significant improvement in the quality of life after surgery in both groups, and better cosmetic results were observed in the laparoscopy group. Conclusion. Laparoscopy can be used for ulcerative colitis both emergency and elective cases, it provides a good quality of life and the mid-term rate of complications is lower as compared with open surgery.

Original languageEnglish
Pages (from-to)406-412
Number of pages7
JournalScandinavian Journal of Gastroenterology
Volume50
Issue number4
DOIs
Publication statusPublished - Apr 1 2015

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Ulcerative Colitis
Laparoscopy
Emergencies
Therapeutics
Quality of Life
Intestinal Obstruction
Recovery of Function
Cosmetics
Intensive Care Units
Body Mass Index

Keywords

  • Ileal pouch-anal anastomosis
  • laparoscopy
  • proctocolectomy
  • ulcerative colitis

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Role of laparoscopic surgery in the treatment of ulcerative colitis; Short- and mid-term results. / Tajti, János; Simonka, Zsolt; Paszt, Attila; Ábrahám, Szabolcs; Farkas, Klaudia; Szepes, Zoltán; Molnár, Tamás; Nagy, Ferenc; Lázár, György.

In: Scandinavian Journal of Gastroenterology, Vol. 50, No. 4, 01.04.2015, p. 406-412.

Research output: Contribution to journalArticle

Tajti, János ; Simonka, Zsolt ; Paszt, Attila ; Ábrahám, Szabolcs ; Farkas, Klaudia ; Szepes, Zoltán ; Molnár, Tamás ; Nagy, Ferenc ; Lázár, György. / Role of laparoscopic surgery in the treatment of ulcerative colitis; Short- and mid-term results. In: Scandinavian Journal of Gastroenterology. 2015 ; Vol. 50, No. 4. pp. 406-412.
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