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Gastroenterology Research and Practice
Volume 2012 (2012), Article ID 381017, 6 pages
http://dx.doi.org/10.1155/2012/381017
Review Article

Laparoscopic Surgery for Recurrent Crohn's Disease

1Dipartimento e Cattedra di Chirurgia Generale, Istituto Clinico Humanitas IRCCS, Università degli Studi di Milano, Rozzano, Milano, Italy
2IBD Unit, Dipartimento di Gastroenterologia, Istituto Clinico Humanitas IRCCS, Rozzano, Milano, Italy

Received 31 August 2011; Revised 22 October 2011; Accepted 22 October 2011

Academic Editor: A. Castells

Copyright © 2012 Antonino Spinelli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In spite of the recent improvements in drug therapy, surgery still represents the most frequent treatment for Crohn's disease (CD) complications. Laparoscopy has been widely applied over the last twenty years in colorectal surgery and was associated with lower postoperative pain, shorter hospitalization, faster return to daily activities, and better cosmetic results. Laparoscopy experienced a slower diffusion in inflammatory bowel disease surgery than in oncologic colorectal surgery, but proved to be safe and effective, and is currently considered the gold standard for the treatment of primary uncomplicated ileocolic CD. Indications for laparoscopy in CD have recently been widened to embrace more complicated or recurrent CD. This paper reviews the available data on the subset of recurrent CD patients. The reported results indicate that laparoscopy may be safely applied even in selected recurrent CD cases in hands of IBD surgeons with broad laparoscopic experience.