Abstract
Aim: Inflammatory bowel diseases (IBD) are chronic diseases mostly treated conservatively. Twenty percent of the patient with ulcerative colitis and around 70 % - 90 % patients with Crohn's disease have undergo surgical procedure minimally once per their life.
The laparoscopic is the alternative to laparotomic surgical method for indicated IBD patients. Method: In 2009-2018 403 patients with IBD underwent laparoscopic procedures in the Surgical department of the 2nd Medical School Charles University and Central Military Hospital at Prague.
From this count there were 241 ileocolic resections, 62 hemicolectomies, 69 subtotal colectomies and 31 restorative proctocolectomies with ileo-pouch anal anastomosis (IPAA). Results: Average blood loss was 98 ml (0-350).
Average restoration time of the bowel movements was 3.4 day (1-8 days). Wound infection occurred in 11 (2.7 %) patients.
Bowel obstruction occurred in 4 (0.9 %) patients, postoperative haemoperitoneum occurred in 2 (0.5 %) patients. Anastomotic leak with peritonitis occurred in 4 (0.9 %) patients and it was treated with the temporary loop stomy.
Conclusion: Laparoscopic procedures in patients with IBD are feasible and safe. Laparoscopy turns out to be acceptable method mainly in patients with ileocolic disease.
It is safe in indicated patients with Crohn's disease or with ulcerative colitis.