Our Summary

This research paper investigates the difference in results between two types of surgery (laparoscopic and open resection) on children with either ulcerative colitis or Crohn’s disease. The study uses data from the American College of Surgeons National Surgical Quality Improvement Program Pediatric from 2012 to 2013.

The research found that out of 140 children with ulcerative colitis who had surgery, 74% were performed laparoscopically (a type of minimally invasive surgery). These patients had a shorter recovery time in the hospital and fewer complications related to the surgical incision. However, whether the surgery was open or laparoscopic was not a deciding factor in the length of hospital stay after surgery.

For children with Crohn’s disease, 65% out of 188 had laparoscopic surgery. These patients had a similar rate of complications to those who had open surgery, but their recovery time in the hospital was shorter.

The paper concludes that laparoscopic surgery may shorten the hospital stay for children with Crohn’s disease. It also states that further research with more cases is needed to confirm these results and to identify factors that could lead to complications related to the surgical incision.

FAQs

  1. What is the difference in recovery time between laparoscopic and open resection for children with ulcerative colitis or Crohn’s disease?
  2. Does the type of surgery (laparoscopic or open resection) affect the length of hospital stay for children with ulcerative colitis or Crohn’s disease?
  3. Is there a difference in complication rates between laparoscopic and open surgeries for children with Crohn’s disease?

Doctor’s Tip

A doctor might tell a patient undergoing bowel resection surgery to discuss with their healthcare provider the possibility of having a laparoscopic procedure, as it may lead to a shorter hospital stay and fewer complications related to the surgical incision. It is important for the patient to follow their doctor’s post-operative instructions, including proper wound care, diet modifications, and medication management, to ensure a successful recovery. Regular follow-up appointments with their healthcare provider are also crucial for monitoring progress and addressing any concerns that may arise.

Suitable For

Patients who are typically recommended for bowel resection include those with conditions such as ulcerative colitis and Crohn’s disease that have not responded to other forms of treatment, those with severe complications such as bowel obstruction or perforation, and those with cancerous or precancerous growths in the bowel. Additionally, patients who have experienced repeated episodes of inflammation or infection in the bowel may also be candidates for bowel resection.

Timeline

Before bowel resection:

  1. Patient is diagnosed with ulcerative colitis or Crohn’s disease.
  2. Patient undergoes pre-operative testing and preparation.
  3. Surgery is scheduled and discussed with the patient by the healthcare team.
  4. Patient is admitted to the hospital on the day of the surgery.
  5. Bowel resection surgery is performed, either laparoscopically or open.

After bowel resection:

  1. Patient wakes up in the recovery room post-surgery.
  2. Patient is monitored closely for any complications.
  3. Patient is gradually allowed to resume eating and drinking.
  4. Patient is encouraged to start moving and walking to aid in recovery.
  5. Patient is discharged from the hospital once stable and able to care for themselves at home.
  6. Patient follows up with their healthcare team for post-operative care and monitoring.
  7. Patient may undergo rehabilitation or physical therapy to regain strength and mobility.
  8. Patient is advised on diet and lifestyle changes to promote healing and prevent future complications.

What to Ask Your Doctor

Some questions a patient should ask their doctor about bowel resection include:

  1. What are the benefits and risks of laparoscopic surgery compared to open surgery for my specific condition?
  2. How long will my recovery time be in the hospital after the surgery?
  3. What complications should I be aware of following the surgery, and how likely are they to occur?
  4. Will I need any additional treatments or medications after the surgery?
  5. Are there any specific factors about my health or condition that could impact the success of the surgery?
  6. How experienced is the surgical team in performing laparoscopic bowel resections?
  7. What is the expected outcome of the surgery in terms of managing my condition long-term?
  8. Are there any lifestyle changes or dietary restrictions I should follow post-surgery?
  9. How often will I need follow-up appointments after the surgery?
  10. Are there any alternative treatment options to consider before proceeding with a bowel resection?

Reference

Authors: Mahida JB, Asti L, Deans KJ, Minneci PC, Nwomeh BC. Journal: J Surg Res. 2015 Nov;199(1):130-6. doi: 10.1016/j.jss.2015.04.009. Epub 2015 Apr 8. PMID: 25935468