| Popis: |
Since the original paper describing Crohn’s disease (CD) (Crohn et al., JAMA 251:73–79, 1932), complications requiring surgery continue to be seen. Laparoscopic surgery has had an impact in this disease, although at a much lower percentage than laparoscopic surgery for cancer. The many reasons include severe inflammatory disease with fistula and phlegmon, thickened mesentery, steroids and previous open surgery. However, over 20 years of treating this disease with laparoscopic surgery, we have developed a systematic approach in conjunction with newer energy devices, which has led to a high completion rate and low complication rate with laparoscopic surgery. |
