Laparoscopic Surgical Treatment of Ileocecal Crohn's Disease: Impact of Obesity on Short Term Results

Abstract

IntroductionThe aim of our study was to analyze the short-term outcomes of laparoscopic surgery for a no medical responding ileocolic Cohn's disease in a single center according to the presence of obesity. MethodsA cross-sectional study was performed including all consecutive patients who underwent laparoscopic resection for ileocecal Crohn's disease from November 2006 to November 2015. Patients were divided according to body mass index ≥30kg/m2 in order to study influence of obesity in the short-term outcomes. The following variables were studied: characteristics of patients, surgical technique and postoperative results (complications, reintervention, readmission and mortality) during first 30 postoperative days. ResultsA total of 100 patients were included (42 males) with a mean age of 39.7±15.2 years (range 18–83). The overall complication rate was 20% and only 3 patients had an anastomotic leak. Seven patients needed reoperation in the first 30 days postop (7%). The median postoperative length of hospitalization was 5.0 days. Operative time was significantly longer in patients with obesity (130 vs 165min, P=.007) but there were no significant differences among the postoperative results in patients with and without obesity. ConclusionsThis study confirmed that laparoscopic approach for ileocecal Cohn's disease is a safety and feasible technique in patients with obesity. In this last group of patients we only have to expect a longer operative time.