Zusammenfassung.
Entzündliche Erkrankungen des Intestinums werden in zunehmendem Maße durch endoskopische
Techniken therapiert. Die häufigste Indikation ist hier sicherlich die Sigmadivertikulitis,
aber auch die Colitis ulcerosa und der Morbus Crohn können bei gegebener Indikation
endokopisch angegangen werden. Die bisherigen Daten für die laparoskopische Therapie
der Sigmadivertikulitis sind vielversprechend und man kann diesen Eingriff, wird er
vom behandelnden Chirurgen adäquat beherrscht, nahezu von einem Standardeingriff ausgehen.
Demgegenüber ist die Indikation zum laparoskopischen Eingriff bei chronisch entzündlichen
Darmerkrankungen nach wie vor eine sehr individuelle Entscheidung und gegenwärtig
noch weit von einem Regeleingriff entfernt.
Laparoscopic surgery - experiences and characteristic features: inflammatory bowel
disease.
Inflammatory bowel diseases including diverticular disease are increasingly treated
by laparoscopic surgery. Whereas laparoscopic sigmoid resections for diverticulitis
are almost a standard procedure Crohns disease and even more ulcerative Colitis are
far away of this. Since several studies have demonstrated the feasibility and safety
of laparoscopic techniques in Crohn's disease, these procedures have gained more and
more acceptance. Nevertheless, laparoscopic surgery underlies the same rules as open
surgery. Each patient with a inflammatory bowel disease has to be judged very individually
and be selected for a minimal invasive procedure.
Schlüsselwörter:
Entzündliche Darmerkrankungen - Chirurgische Prinzipien - Laparoskopische Verfahren
Key words:
Inflammatory bowel disease - Surgery - Laparoscopic surgery - Review
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Prof. Dr. med. H. J. Buhr
Chirurgische Klinik und Poliklinik I: Allgemein-, Gefäß- und Thoraxchirurgie Universitätsklinikum
Benjamin Franklin
Hindenburgdamm 30
12200 Berlin
Phone: 030/8445-2541
Fax: 030/8445-2740
Email: buhr@ukbf.fu-berlin.de
