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2015 ; 21
(6
): 1443-58
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Minimally invasive surgery for inflammatory bowel disease
#MMPMID25989341
Holder-Murray J
; Marsicovetere P
; Holubar SD
Inflamm Bowel Dis
2015[Jun]; 21
(6
): 1443-58
PMID25989341
show ga
Surgical management of inflammatory bowel disease is a challenging endeavor given
infectious and inflammatory complications, such as fistula, and abscess, complex
often postoperative anatomy, including adhesive disease from previous open
operations. Patients with Crohn's disease and ulcerative colitis also bring to
the table the burden of their chronic illness with anemia, malnutrition, and
immunosuppression, all common and contributing independently as risk factors for
increased surgical morbidity in this high-risk population. However, to reduce the
physical trauma of surgery, technologic advances and worldwide experience with
minimally invasive surgery have allowed laparoscopic management of patients to
become standard of care, with significant short- and long-term patient benefits
compared with the open approach. In this review, we will describe the current
state-of the-art for minimally invasive surgery for inflammatory bowel disease
and the caveats inherent with this practice in this complex patient population.
Also, we will review the applicability of current and future trends in minimally
invasive surgical technique, such as laparoscopic "incisionless," single-incision
laparoscopic surgery (SILS), robotic-assisted, and other techniques for the
patient with inflammatory bowel disease. There can be no doubt that minimally
invasive surgery has been proven to decrease the short- and long-term burden of
surgery of these chronic illnesses and represents high-value care for both
patient and society.
|Digestive System Surgical Procedures/*methods
[MESH]