Minimally invasive surgery for paediatric inflammatory bowel disease: Personal experience and literature review

Table 2 Personal series of paediatric inflammatory bowel disease treated laparoscopically

	UC	CD	IBD-U	Overall
Patients	39	20	2	61
Males				25	M:F ratio 0.7:1
Females				36
Age at surgery (yr)				9.5 (1.1-20.2)
Indications
Haemorrhagic colitis	26	3	2	31
Failure of treatment	13	3	0	16
Obstruction/strictures	0	13	0	13
Other	0	11	0	1
Procedures
LSTC	39	4	2	45	Overall 98 procedures
Median operative time (min) (range)				215 (80-350)
Median length of hospitalization (d) (range)				8.5 (3-11)
JPIRA	38	0	0	38
Median operative time (min) (range)				195 (130-260)
Median length of hospitalization (d) (range)				3.5 (2-11)
Segmental resection	0	15	0	15
Median operative time (min) (range)				145 (85-205)
Median length of hospitalization (d) (range)				7 (2-15)
Complications (18 events), n (%) of procedures	8 (13)	4 (30)	1 (50)	18% of procedures	P = 0.08062
Stoma-related issues (6 events), n (%) of procedures)	4 (11)	1 (33)	1 (50)	14% of procedures	P = 0.63223

¹Pelvic abscess due to fistulising CD;

²Statistical analysis was performed to compare the prevalence of complications in CD and UC;

³Statistical analysis was performed to compare the prevalence of complications related to the stoma (14.3%) and that of complications related to other aspect of surgery (12.2%). Overall, we performed 98 primary laparoscopic procedures and 6 laparoscopic management of surgical complications. Complications were experienced by 21% of our patients following 18% of procedures. Though without statistical significance, complications were more likely to occur in patients with CD when compared to those with UC (30% vs 13%). UC: Ulcerative colitis; CD: Crohn disease; IBD-U: Inflammatory bowel disease - unclassified; LSTC: Laparoscopic SubTotal colectomy; JPIRA: J-Pouch Ileo-Rectal restorative anastomosis.