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首页> 外文期刊>International journal of colorectal disease. >Laparoscopic adult colorectal surgeon and adolescents with inflammatory bowel disease: a safe combination?
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Laparoscopic adult colorectal surgeon and adolescents with inflammatory bowel disease: a safe combination?

机译：腹腔镜成人结直肠外科医师和青少年患有炎性肠病：安全的组合吗？

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INTRODUCTION: A multidisciplinary tertiary service for adolescents with inflammatory bowel disease (IBD) was commenced in April 2008, aiming to provide specialist treatment for adolescent patients and bridge the gap between existing paediatric and adult surgical services. A single laparoscopic colorectal surgeon who normally treats adult patients has been part of the multidisciplinary team since its inception. AIM: To analyse outcomes for those patients requiring surgical resection during the first 2 years of service. METHODS: In this service evaluation study, all data for patients undergoing surgery from 1 April 2008 to 31 March 2010 were prospectively collected on a dedicated electronic database. RESULTS: Nineteen patients underwent surgical resection (15 laparoscopic and four open) over the 2-year period. Median patient age was 15 years (range 11-16), and 14 patients were female. Of the 15 laparoscopic resections, eight were subtotal colectomy and ileostomy and seven ileocaecal resection/right hemicolectomy. There was one (6.7%) conversion due to a pericolic abscess. There were four planned open cases, including two subtotal colectomy and ileostomy and two small bowel resections. Median operating time was 150 and 172.5 min in the open and laparoscopic groups respectively. Median length of stay was 6 days (range 3-16) in the laparoscopic group, and 8 days (range 5-13) in the open group. There were three (15.8%) post-operative complications, one (5.3%) readmission within 30 days and no mortality. CONCLUSION: This study suggests that an adult colorectal surgeon can provide a safe and effective service for adolescents with IBD, including the provision of laparoscopic resection in this challenging patient group.
机译：简介：2008年4月，为患有炎性肠病（IBD）的青少年提供了多学科的三级服务，旨在为青少年患者提供专科治疗，并缩小现有的儿科和成人手术服务之间的差距。自成立以来，一名通常负责治疗成年患者的腹腔镜结直肠外科医师已成为多学科团队的成员。目的：分析在服务的头两年中需要手术切除的患者的预后。方法：在这项服务评估研究中，前瞻性地收集了2008年4月1日至2010年3月31日接受手术治疗的患者的所有数据。结果：在两年的时间内，有19例患者接受了手术切除（15例腹腔镜手术和4例开放手术）。中位患者年龄为15岁（范围11-16），其中14位患者为女性。在15例腹腔镜切除术中，有8例是大肠切除术和回肠造口术，另外7例是回盲肠切除术/右半结肠切除术。由于周缘脓肿，发生了一次转化（6.7％）。计划中有四个开放病例，包括两个大肠切除术和回肠造口术以及两个小肠切除术。开放组和腹腔镜组的中位手术时间分别为150分钟和172.5分钟。腹腔镜组中位住院时间中位数为6天（范围3-16），开放组为8天（范围5-13）。术后3例（15.8％）并发症，30天内1例（5.3％）再入院且无死亡。结论：这项研究表明，成人结直肠外科医师可以为患有IBD的青少年提供安全有效的服务，包括在这一具有挑战性的患者群体中提供腹腔镜切除术。

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