Laparoscopic vs open surgery in ileostomy reversal in Crohn’s disease: A retrospective study

Table 1 Baseline characteristics

Variable	Laparoscopic (n = 48)	Open (n = 12)	P value
Age, yr, mean (range)	36.5 (18-70)	39.8 (20-73)	NS
Gender, male	36	8	NS
BMI, kg/m2, mean ± SD	20.2 ± 4.9	20.3 ± 2.9	NS
ASA class			NS
I-II	45	11
III-IV	3	1
Duration of ileostomy, mo, mean ± SD (range)	7.6 ± 6.8 (3-48)	13.0 ± 18.5 (3-72)	NS
Disease duration, mo, mean ± SD (range)	46.1 ± 48.7 (3-168)	39.3 ± 33.5 (4-96)	NS
History of abdominal operation	1.4 ± 0.7	1.4 ± 0.9	NS
Hematologic examination
WBC (/L)	5.2 ± 1.3	5.2 ± 1.0	NS
CRP (mg/L)	5.9 ± 8.9	8.9 ± 17.6	NS
ESR (mm)	15.4 ± 11.5	15.8 ± 6.9	NS
ALB (g/L)	45.4 ± 4.8	43.6 ± 4.0	NS
Hb (g/L)	134.0± 18.2	131.0 ± 16.0	NS
PLT (/L)	240.8 ± 105.6	206.3 ± 49.3	NS
PT (s)	11.5 ± 0.9	11.2 ± 0.8	NS
APTT (s)	29.3 ± 3.4	28.2 ± 4.0	NS

BMI: Body mass index; ASA: American Society of Anesthesiologists; WBC: White blood cell count; CRP: C-reactive protein; ESR: Erythrocyte sedimentation rate; ALB: Albumin; Hb: Hemoglobin; PLT: Platelets; PT: Prothrombin time; APTT: Activated partial thromboplastin time; NS: Not significant.

Table 2 Operative data and short-term (30-d) outcomes

	Ileostomy reversal (without enterectomy)			Ileostomy reversal
Variable	Laparoscopic (n = 30)	Open (n = 7)	P value	Laparoscopic (n = 48)	Open (n = 12)	P value
Operative time, min	116.5 ± 38.4	117.1 ± 28.6	NS	128.2 ± 41.7	142.5 ± 41.7	NS
Estimated blood loss, mL	69.7 ± 93.1	71.4 ± 94.8	NS	73.1 ± 91.3	94.2 ± 88.1	NS
Days to flatus, d, mean ± SD	2.3 ± 0.6	1.7 ± 0.7	P < 0.05	2.3 ± 0.8	2.0 ± 0.7	NS
Days to soft diet, d, mean ± SD	4.5 ± 1.7	2.7 ± 0.7	P < 0.05	5.1 ± 3.9	3.8 ± 1.4	NS
Total postoperative complication, n (%)	3 (10)	1 (14.3)	NS	5 (10.4)	2 (16.7)	NS
Anastomotic hemorrhage	1	0		1	0
Anastomotic leakage	0	0		1	0
Ileus	0	0		1	0
Wound infection	1	1		2	2
Reoperation	0	0		0	0
Readmission after discharge	0	0	-	0	0	-
Length of stay, d, mean ± SD (range)	9.6 ± 2.7 (5-15)	8.6 ± 2.8 (6-15)	NS	10.3 ± 4.0 (5-32)	10.8 ± 3.7(6-18)	NS
Cost (RMB)	57967	37301	P < 0.05	62916	52274	NS

NS: Not significant.