IRIS Institutional Research Information System - AIR Archivio Istituzionale della Ricerca
IRIS è il sistema di gestione integrata dei dati della ricerca (persone, progetti, pubblicazioni, attività) adottato dall'Università degli Studi di Milano.
AIR nasce in UNIMI nel 2006 con lo scopo di raccogliere, documentare e conservare le informazioni sulla produzione scientifica dell'Università degli Studi di Milano e costituisce di fatto l'Anagrafe della ricerca dell'Ateneo.
EnglishBackground: Although the creation of a stoma reduces the risk of septic pouch complications following ileal pouch-anal anastomosis (IPAA), the stoma itself and its reversal can give rise to substantial morbidity during the two- or three-stage concept. Aim of study is to compare stoma-related complications in Ulcerative Colitis patients undergoing laparoscopic versus open IPAA. Methods: We collected data on 250 IPAA patients from two Italian Centres between 2005 and 2015. We compared perioperative and postoperative events in 150 open vs 100 laparoscopic IPAA. We performed a case-matched analysis based on baseline differences among groups to compare the rate of mechanical complications. Results: There were no significant differences between open and laparoscopic IPAA in overall stoma complications (complications during ileostomy: 11.3% vs 12%,p = 0.8; early complications: 10% vs 8%,p = 0.5; late complications: 12.6% vs 6%,p = 0.08). The case-matched analysis found a slightly reduced incidence of obstructive complications at any stage with laparoscopy. Conclusions: Overall stoma related complications do not seem to be reduced by minimally-invasive approach itself, but patients might experience less mechanical problems with laparoscopy without conversion.
Minimally invasive surgery and stoma-related complications after restorative proctocolectomy for ulcerative colitis. A two-centre comparison with open approach / F. Colombo, G. Pellino, F. Selvaggi, F. Corsi, G. Sciaudone, G.M. Sampietro, D. Foschi. - In: THE AMERICAN JOURNAL OF SURGERY. - ISSN 0002-9610. - (2018 Jul 24). [Epub ahead of print]
| Titolo: | Minimally invasive surgery and stoma-related complications after restorative proctocolectomy for ulcerative colitis. A two-centre comparison with open approach |
| Autori: | |
| Parole Chiave: | Pouch; Stoma; Surgery; Ulcerative colitis; Surgery |
| Settore Scientifico Disciplinare: | Settore MED/18 - Chirurgia Generale |
| Data di pubblicazione: | 24-lug-2018 |
| Rivista: | |
| Tipologia: | Article (author) |
| Data ahead of print / Data di stampa: | 24-lug-2018 |
| Digital Object Identifier (DOI): | http://dx.doi.org/10.1016/j.amjsurg.2018.07.028 |
| Appare nelle tipologie: | 01 - Articolo su periodico |
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| File | Descrizione | Tipologia | Licenza | |
|---|---|---|---|---|
| AMJS Proof.pdf | Post-print, accepted manuscript ecc. (versione accettata dall'editore) | Administrator Richiedi una copia | ||
| 1-s2.0-S0002961018304392-main.pdf | Publisher's version/PDF | Administrator Richiedi una copia |
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