Retrospective Cohort Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Nov 7, 2021; 27(41): 7159-7172
Published online Nov 7, 2021. doi: 10.3748/wjg.v27.i41.7159
Short-term and long-term outcomes of laparoscopic vs open ileocolic resection in patients with Crohn's disease: Propensity-score matching analysis
Shin Jeong Pak, Young Il Kim, Yong Sik Yoon, Jong Lyul Lee, Jung Bok Lee, Chang Sik Yu
Shin Jeong Pak, Young Il Kim, Yong Sik Yoon, Jong Lyul Lee, Chang Sik Yu, Department of Colon and Rectal Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, South Korea
Jung Bok Lee, Department of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, Seoul 05505, South Korea
Author contributions: Pak SJ and Kim YI contributed equally to this article; Pak SJ contributed to data acquisition, analysis, and interpretation, and wrote the paper; Yoon YS, Lee JL, Kim YI, and Yu CS generated the data; Lee JB analyzed the data; Yoon YS had the original idea for the paper and provided critical comments, Yoon YS and Kim YI revised the manuscript; and all authors approved the final version of the manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Asan Medical Center (IRB No. 2019-0972).
Informed consent statement: Informed consent was waived due to the retrospective nature of this study.
Conflict-of-interest statement: This study has no conflict of interest.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yong Sik Yoon, MD, PhD, Associate Professor, Department of Colon and Rectal Surgery, University of Ulsan College of Medicine, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea. yoonys@amc.seoul.kr
Received: March 16, 2021
Peer-review started: March 16, 2021
First decision: May 1, 2021
Revised: May 8, 2021
Accepted: October 18, 2021
Article in press: October 18, 2021
Published online: November 7, 2021
Core Tip

Core Tip: The laparoscopic approach to ileocolic resection can be safely performed in patients with primary Crohn’s disease (CD), resulting in fewer postoperative complications, faster postoperative recovery, and non-inferior surgical recurrence rate when compared with open surgery. Postoperative complications were significantly associated with preoperative use of biologics and open ileocolic resection. Additional procedures were found to be independent risk factors for surgical recurrence in patients with CD.