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2016 ; 7
(2
): 217-26
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Minimally invasive surgery for inflammatory bowel disease: Review of current
developments and future perspectives
#MMPMID27158537
Neumann PA
; Rijcken E
World J Gastrointest Pharmacol Ther
2016[May]; 7
(2
): 217-26
PMID27158537
show ga
Patients with inflammatory bowel disease (IBD) comprise a population of patients
that have a high likelihood of both surgical treatment at a young age and
repetitive operative interventions. Therefore surgical procedures need to aim at
minimizing operative trauma with best postoperative recovery. Minimally invasive
techniques have been one of the major advancements in surgery in the last decades
and are nowadays almost routinely performed in colorectal resections irrespective
of underlying disease. However due to special disease related characteristics
such as bowel stenosis, interenteric fistula, abscesses, malnutrition, repetitive
surgeries, or immunosuppressive medications, patients with IBD represent a
special cohort with specific needs for surgery. This review summarizes current
evidence of minimally invasive surgery for patients with Crohn's disease or
ulcerative colitis and gives an outlook on the future perspective of technical
advances in this highly moving field with its latest developments in single port
surgery, robotics and trans-anal techniques.