Endoskopische Operationen - Erfahrungen und Besonderheiten: Entzündliche Darmerkrankungen

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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