Research output: Contribution to journal › Article › Academic › peer-review
Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - The potential benefits and disadvantages of laparoscopic surgery for ulcerative colitis: A review of current evidence
AU - Buskens, Christianne J.
AU - Sahami, Saloomeh
AU - Tanis, Pieter J.
AU - Bemelman, Willem A.
PY - 2014
Y1 - 2014
N2 - Up to 35% of patients with ulcerative colitis will require surgery during the course of their disease. Nowadays, a total colectomy with ileal pouch-anal anastomosis is the preferred procedure, which can be performed open or via laparoscopic approach. Since the early '90s, minimally invasive techniques have gained popularity, but the extend of restorative procedures in these patients has restricted the use of laparoscopic approaches mainly to elective procedures in specialised centres. This review discusses the benefits and disadvantages of laparoscopic surgery when compared to open surgery. It presents the current evidence on short-term and long-term post-operative results, functional outcome, fecundity, and costs, for both elective and emergency indications. In addition, the value of new techniques (including single port surgery) and alternative laparoscopic approaches (e.g. ileo-rectal anastomosis, Kock-pouch and appendectomy) will be discussed
AB - Up to 35% of patients with ulcerative colitis will require surgery during the course of their disease. Nowadays, a total colectomy with ileal pouch-anal anastomosis is the preferred procedure, which can be performed open or via laparoscopic approach. Since the early '90s, minimally invasive techniques have gained popularity, but the extend of restorative procedures in these patients has restricted the use of laparoscopic approaches mainly to elective procedures in specialised centres. This review discusses the benefits and disadvantages of laparoscopic surgery when compared to open surgery. It presents the current evidence on short-term and long-term post-operative results, functional outcome, fecundity, and costs, for both elective and emergency indications. In addition, the value of new techniques (including single port surgery) and alternative laparoscopic approaches (e.g. ileo-rectal anastomosis, Kock-pouch and appendectomy) will be discussed
U2 - 10.1016/j.bpg.2013.11.007
DO - 10.1016/j.bpg.2013.11.007
M3 - Article
C2 - 24485252
VL - 28
SP - 19
EP - 27
JO - Best practice & research. Clinical gastroenterology
JF - Best practice & research. Clinical gastroenterology
SN - 1521-6918
IS - 1
ER -
ID: 2312097