Clin Colon Rectal Surg
DOI: 10.1055/s-0044-1786515
Review Article

Minimally Invasive Management of Complicated and Re-operative Crohn's Disease

Conor Kinford
1   Department of Surgery, Ascension St. Joseph's Chicago, Chicago, Illinois
,
Vitaliy Poylin
2   Division of Gastrointestinal Surgery, Northwestern Feinberg School of Medicine, Chicago, Illinois
› Institutsangaben

Abstract

Minimally invasive techniques for the surgical management of Crohn's disease have become the recommended approach for initial surgical intervention in noncomplicated patients as there is lower morbidity for patients without compromising treatment outcomes. There has been a push to expand minimally invasive approaches to complex and recurrent diseases, trying to benefit these difficult patients. However, until recently there have been little data to support the adoption of minimally invasive surgery (MIS) in these scenarios. This article aims to build on the 2019 Clinics in Colon and Rectal Surgery article on complex Crohn's and MIS by introducing new data in support of these approaches. Decisions for technique should be based on patient characteristics, but minimally invasive techniques have emerged as valid and possibly superior for complex and recurrent disease.



Publikationsverlauf

Artikel online veröffentlicht:
29. April 2024

© 2024. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Neumann PA, Rijcken E. Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives. World J Gastrointest Pharmacol Ther 2016; 7 (02) 217-226
  • 2 Satsangi J, Silverberg MS, Vermeire S, Colombel JF. The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. Gut 2006; 55 (06) 749-753
  • 3 Rieder F, Zimmermann EM, Remzi FH, Sandborn WJ. Crohn's disease complicated by strictures: a systematic review. Gut 2013; 62 (07) 1072-1084
  • 4 Myrelid P, Soop M, George BD. Surgical planning in penetrating abdominal Crohn's disease. Front Surg 2022; 9: 867830
  • 5 Margagnoni G, Aratari A, Mangone M. et al. Natural history of ileo-caecal Crohn's disease after surgical resection. A long term study. Minerva Gastroenterol Dietol 2011; 57 (04) 335-344
  • 6 Lightner ALMD, Vogel JD, Carmichael JC. et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the surgical management of Crohn's disease. Dis Colon Rectum 2020; 63 (08) 1028-1052
  • 7 Bemelman WA, Warusavitarne J, Sampietro GM. et al. ECCO-ESCP consensus on surgery for Crohn's disease. J Crohn's Colitis 2018; 12 (01) 1-16
  • 8 Sapci I, Gorgun E. Minimally invasive surgery in complex Crohn's disease. Clin Colon Rectal Surg 2019; 32 (04) 300-304
  • 9 Maartense S, Dunker MS, Slors JF. et al. Laparoscopic-assisted versus open ileocolic resection for Crohn's disease: a randomized trial. Ann Surg 2006; 243 (02) 143-149 , discussion 150–153
  • 10 Milsom JW, Hammerhofer KA, Böhm B, Marcello P, Elson P, Fazio VW. Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic Crohn's disease. Dis Colon Rectum 2001; 44 (01) 1-8 , discussion 8–9
  • 11 Stocchi L, Milsom JW, Fazio VW. Long-term outcomes of laparoscopic versus open ileocolic resection for Crohn's disease: follow-up of a prospective randomized trial. Surgery 2008; 144 (04) 622-628
  • 12 Huilgol RL, Wright CM, Solomon MJ. Laparoscopic versus open ileocolic resection for Crohn's disease. J Laparoendosc Adv Surg Tech A 2004; 14 (02) 61-65
  • 13 Msika S, Iannelli A, Deroide G. et al. Can laparoscopy reduce hospital stay in the treatment of Crohn's disease?. Dis Colon Rectum 2001; 44 (11) 1661-1666
  • 14 Liu W, Zhou W. Minimally invasive surgery in Crohn's disease: state-of-the-art review. Front Surg 2023; 10: 1216014
  • 15 Maggiori L, Khayat A, Treton X, Bouhnik Y, Vicaut E, Panis Y. Laparoscopic approach for inflammatory bowel disease is a real alternative to open surgery: an experience with 574 consecutive patients. Ann Surg 2014; 260 (02) 305-310
  • 16 Yu ZL, Lin DZ, Hu JC. et al. Laparoscopic surgery for complex Crohn's disease: a meta-analysis. J Laparoendosc Adv Surg Tech A 2019; 29 (11) 1397-1404
  • 17 Connelly TM, Clancy C, Duraes LC. et al. Laparoscopic surgery for complex Crohn's disease: perioperative and long-term results from a propensity matched cohort. Int J Colorectal Dis 2022; 37 (08) 1885-1891
  • 18 Sampietro GM, Colombo F, Frontali A. et al. Strictureplasties performed by laparoscopic approach for complicated Crohn's disease. A prospective, observational, cohort study. Dig Liver Dis 2021; 53 (10) 1286-1293
  • 19 Shimada N, Ohge H, Kono T. et al. Surgical recurrence at anastomotic site after bowel resection in Crohn's disease: comparison of Kono-S and end-to-end anastomosis. J Gastrointest Surg 2019; 23 (02) 312-319
  • 20 Luglio G, Rispo A, Imperatore N. et al. Surgical prevention of anastomotic recurrence by excluding mesentery in Crohn's disease: the SuPREMe-CD study - a randomized clinical trial. Ann Surg 2020; 272 (02) 210-217
  • 21 Kann BR. Anastomotic considerations in Crohn's disease. Clin Colon Rectal Surg 2022; 36 (01) 63-73
  • 22 Julià Bergkvist D, Gómez Romeu N, Pigem A, Busquets D, Farrés R, Codina-Cazador A. Robotic modified Kono-S anastomosis after ileocecal resection for Crohn's disease. Tech Coloproctol 2023; 27 (04) 335
  • 23 Calini G, Abdalla S, Abd El Aziz MA. et al. Intracorporeal versus extracorporeal anastomosis for robotic ileocolic resection in Crohn's disease. J Robot Surg 2022; 16 (03) 601-609
  • 24 Aytac E, Stocchi L, Remzi FH, Kiran RP. Is laparoscopic surgery for recurrent Crohn's disease beneficial in patients with previous primary resection through midline laparotomy? A case-matched study. Surg Endosc 2012; 26 (12) 3552-3556
  • 25 Carmichael H, Peyser D, Baratta VM. et al. The role of laparoscopic surgery in repeat ileocolic resection for Crohn's disease. Colorectal Dis 2021; 23 (08) 2075-2084
  • 26 Celentano V, Sagias F, Flashman KG, Conti J, Khan J. Laparoscopic redo ileocolic resection for Crohn's disease in patients with previous multiple laparotomies. Scand J Surg 2019; 108 (01) 42-48
  • 27 Abd El Aziz MA, Abdalla S, Calini G. et al. Robotic redo ileocolonic resection for Crohn's disease: a preliminary report from a tertiary care center. Dis Colon Rectum 2023; 66 (08) 1095-1101
  • 28 Calini G, Abdalla S, Abd El Aziz MA. et al. Open approach for ileocolic resection in Crohn's disease in the era of minimally invasive surgery: indications and perioperative outcomes in a referral center. Updates Surg 2023; 75 (05) 1179-1185