关键词: 腹腔镜, 克罗恩病, 脓肿, 瘘, 再发

Abstract:

Laparoscopic surgery for Crohn’s disease: current perspectives        GONG Jian-feng. Center for Inflammatory Bowel Diseases, Department of General Surgery, General Hospital of Nanjing Military Command of PLA; Nanjing Jinling Hospital, Medical School of Nanjing University, Nanjing 210002, China
Abstract    Laparoscopic surgery is currently routinely performed in colorectal resections. However，Crohn’s disease（CD）represented a specific cohort due to disease related characteristics such as intestinal stricture， fistula， abscess， malnutrition， previous laparotomy， and use of immunosuppressive agents. In non-complex CD， laparoscopic ileocolic resection has been proven by emerging evidence to be safe and feasible， and is associated with decreased postoperative morbidity and length of hospital stay. In complex diseases， such as penetrating and recurrent disease， laparoscopic resection also confers to beneficial effects in selected patients. Full preoperative evaluation and optimization are important to improve the success rate and to reduce conversion rate of laparoscopic surgery in CD patients.

Key words: laparoscopy, Crohn’s disease, abscess, fistula, recurrence