Skip to main content

Role of Minimally Invasive Reoperative Surgery

  • Chapter
  • First Online:
Mastery of IBD Surgery

Abstract

The recurrence of Crohn’s disease (CD) after surgery is one of the most crucial challenges in the management of this disease. Approximately 50% of patients undergoing an operation for Crohn’s disease are likely to need further surgeries within 10–15 years. Relapse of the symptoms and recurrence of the disease within the first 5 years after surgical resections may occur in 30–50% of patients. The chances of recurrence may increase to 50% to 80% within 10 years from the primary resection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Gomollón F, Dignass A, Annese V, Tilg H, Van Assche G, Lindsay JO, et al. 3rd European evidence-based consensus on the diagnosis and management of Crohn’s disease 2016: Part 1: Diagnosis and medical management. J Crohns Colitis. 2017;11(1):3–25.

    Article  Google Scholar 

  2. Lapidus A, Bernell O, Hellers G, Löfberg R. Clinical course of colorectal Crohn’s disease: a 35-year follow-up study of 507 patients. Gastroenterology. 1998;114(6):1151–60.

    Article  CAS  Google Scholar 

  3. Shaffer VO, Wexner SD. Surgical management of Crohn’s disease. Langenbecks Arch Surg. 2013;398(1):13–27.

    Article  Google Scholar 

  4. Bernell O, Lapidus A, Hellers G. Risk factors for surgery and recurrence in 907 patients with primary ileocaecal Crohn’s disease. Br J Surg. 2000;87(12):1697–701.

    Article  CAS  Google Scholar 

  5. Bazzi P, Montorsi M, Spinelli A. Minimally invasive surgery in Crohn’s disease. Ann Gastroenterol Q Publ Hell Soc Gastroenterol. 2011;24(4):276–9.

    Google Scholar 

  6. Bemelman WA, Warusavitarne J, Sampietro GM, Serclova Z, Zmora O, Luglio G, et al. ECCO-ESCP consensus on surgery for Crohn’s Disease. J Crohns Colitis. 2017;12(1):1–16.

    Google Scholar 

  7. Kirat HT, Pokala N, Vogel JD, Fazio VW, Kiran RP. Can laparoscopic ileocolic resection be performed with comparable safety to open surgery for regional enteritis: data from National Surgical Quality Improvement Program. Am Surg. 2010;76(12):1393–6.

    PubMed  Google Scholar 

  8. Maggiori L, Panis Y. Surgical management of IBD—from an open to a laparoscopic approach. Nat Rev Gastroenterol Hepatol. 2013;10(5):297–306.

    Article  Google Scholar 

  9. Lee Y, Fleming FJ, Deeb A-P, Gunzler D, Messing S, Monson JRT. A laparoscopic approach reduces short-term complications and length of stay following ileocolic resection in Crohn’s disease: an analysis of outcomes from the NSQIP database. Colorectal Dis. 2012;14(5):572–7.

    Article  CAS  Google Scholar 

  10. Wu JS, Birnbaum EH, Kodner IJ, Fry RD, Read TE, Fleshman JW. Laparoscopic-assisted ileocolic resections in patients with Crohn’s disease: are abscesses, phlegmons, or recurrent disease contraindications? Surgery. 1997;122(4):682–8.

    Article  CAS  Google Scholar 

  11. Hasegawa H, Watanabe M, Nishibori H, Okabayashi K, Hibi T, Kitajima M. Laparoscopic surgery for recurrent Crohn’s disease. Br J Surg. 2003;90(8):970–3.

    Article  CAS  Google Scholar 

  12. Moorthy K, Shaul T, Foley RJ. Factors that predict conversion in patients undergoing laparoscopic surgery for Crohn’s disease. Am J Surg. 2004;187(1):47–51.

    Article  Google Scholar 

  13. Uchikoshi F, Ito T, Nezu R, Tanemura M, Kai Y, Mizushima T, et al. Advantages of laparoscope-assisted surgery for recurrent Crohn disease. Surg Endosc. 2004;18(11):1675–9.

    CAS  PubMed  Google Scholar 

  14. Lawes DA, Motson RW. Avoidance of laparotomy for recurrent disease is a long-term benefit of laparoscopic resection for Crohn’s disease. Br J Surg. 2006;93(5):607–8.

    Article  CAS  Google Scholar 

  15. Edden Y, Ciardullo J, Sherafgan K, Harris MT, Bub DS, Gorfine SR, et al. Laparoscopic-assisted ileocolic resection for Crohn’s disease. JSLS. 2008;12(2):139–42.

    PubMed  PubMed Central  Google Scholar 

  16. Brouquet A, Bretagnol F, Soprani A, Valleur P, Bouhnik Y, Panis Y. A laparoscopic approach to iterative ileocolonic resection for the recurrence of Crohn’s disease. Surg Endosc. 2010;24(4):879–87.

    Article  Google Scholar 

  17. Maggiori L, Cook MC, Bretagnol F, Ferron M, Alves A, Panis Y. Prior abdominal open surgery does not impair outcomes of laparoscopic colorectal surgery: a case-control study in 367 patients. Colorectal Dis. 2013;15(2):236–43.

    Article  CAS  Google Scholar 

  18. 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):3552–6.

    Article  Google Scholar 

  19. Huang R, Valerian BT, Lee EC. Laparoscopic approach in patients with recurrent Crohn’s disease. Am Surg. 2012;78(5):595–9.

    PubMed  Google Scholar 

  20. Moftah M, Nazour F, Cunningham M, Cahill RA. Single port laparoscopic surgery for patients with complex and recurrent Crohn’s disease. J Crohns Colitis. 2014;8(9):1055–61.

    Article  Google Scholar 

  21. Leo CA, Samaranayake SF, Chandrasinghe PC, Shaikh IA, Hodgkinson JD, Warusavitarne JH. Single port laparoscopic surgery for complex Crohn’s disease is safe with a lower conversion rate. J Laparoendosc Adv Surg Tech A. 2017;27(11):1095–100.

    Article  Google Scholar 

  22. 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. 2018; https://doi.org/10.1177/1457496918772370.

    Article  Google Scholar 

  23. Holubar SD, Dozois EJ, Privitera A, Cima RR, Pemberton JH, Young-Fadok T, Larson DW. Laparoscopic surgery for recurrent ileocolic Crohnʼs disease. Inflamm Bowel Dis. 2010;16(8):1382–6.

    Article  Google Scholar 

  24. Chaudhary B, Glancy D, Dixon AR. Laparoscopic surgery for recurrent ileocolic Crohn’s disease is as safe and effective as primary resection. Colorectal Dis. 2011;13(12):1413–6.

    Article  CAS  Google Scholar 

  25. Pinto RA, Shawki S, Narita K, Weiss EG, Wexner SD. Laparoscopy for recurrent Crohn’s disease: how do the results compare with the results for primary Crohn’s disease? Colorectal Dis. 2011;13(3):302–7.

    Article  CAS  Google Scholar 

  26. Bandyopadhyay D, Sagar PM, Mirnezami A, Lengyel J, Morrison C, Gatt M. Laparoscopic resection for recurrent Crohn’s disease: safety, feasibility and short-term outcomes. Colorectal Dis. 2011;13(2):161–5.

    Article  CAS  Google Scholar 

  27. Panteleimonitis S, Ahmed J, Parker T, Qureshi T, Parvaiz A. Laparoscopic resection for primary and recurrent Crohn’s disease: A case series of over 100 consecutive cases. Int J Surg. 2017;47:69–76.

    Article  Google Scholar 

  28. Carvello M, de Groof EJ, de Buck van Overstraeten A, Sacchi M, Wolthuis AM, Buskens CJ, et al. Single port laparoscopic ileocaecal resection for Crohn’s disease: a multicentre comparison with multi-port laparoscopy. Colorectal Dis. 2018;20(1):53–8.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Antonino Spinelli .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yassin, N.A., Spinelli, A. (2019). Role of Minimally Invasive Reoperative Surgery. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16755-4_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics