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Determinants for postoperative complications after laparoscopic intestinal resection for Crohn’s disease

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Abstract

Background

There is lack of studies that define parameters predictive of complications following laparoscopic resection for Crohn’s disease.

Methods

Between 1998 and 2008, 182 patients underwent laparoscopic intestinal resection for Crohn’s disease at a single institution. Conversion occurred in 12 patients (6.6%). We aimed to identify risk factors for short-term postoperative complications (<30 days) by using univariate and multiple regression tests. Complications were defined according to the Clavien–Dindo classification (grades I–V). Data were obtained from an institutional database and individual chart review retrospectively.

Results

There were 25 (13.7%) complications after surgery. According to the Clavien–Dindo classification, complications were classified as grade I in 9 patients, grade II in 9 patients, and grade IIIb in 7 patients. There were no deaths after laparoscopic surgery. A low level of hemoglobin after surgery (r s = −0.15, P = 0.0441) and an elevated CRP before surgery (r s = −0.16, P = 0.0346) seemed to increase the likelihood of postoperative complications.

Conclusion

Laparoscopic surgery can be performed safely in Crohn’s disease patients. An increased inflammation process before operation seems to be associated an eventful postoperative course.

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Disclosure

Stefan Riss, Clemens Bittermann, Katrin Schwameis, Ivan Kristo, Martina Mittlböck, Friedrich Herbst, and Anton Stift have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of General Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria

    Stefan Riss, Clemens Bittermann, Katrin Schwameis, Ivan Kristo & Anton Stift

  2. Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, Vienna, Austria

    Martina Mittlböck

  3. Department of General Surgery, Barmherzige Brüder Wien, Vienna, Austria

    Friedrich Herbst

Authors
  1. Stefan Riss
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  2. Clemens Bittermann
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  3. Katrin Schwameis
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  4. Ivan Kristo
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  5. Martina Mittlböck
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  6. Friedrich Herbst
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  7. Anton Stift
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Corresponding author

Correspondence to Stefan Riss.

Additional information

F. Herbst and A. Stift have contributed equally to this work.

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Riss, S., Bittermann, C., Schwameis, K. et al. Determinants for postoperative complications after laparoscopic intestinal resection for Crohn’s disease. Surg Endosc 26, 933–938 (2012). https://doi.org/10.1007/s00464-011-1970-0

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  • DOI: https://doi.org/10.1007/s00464-011-1970-0

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