INTRODUCTION: Surgeons have been reluctant to apply laparoscopic techniques to @entity30 surgery because of concerns with evaluating and excising inflamed tissue using laparoscopic methods. Additionally in @entity30 surgery, laparoscopic techniques have not been demonstrated to have clear advantages over conventional ones. METHOD: We conducted a prospective, randomized trial in one surgical department comparing laparoscopic vs. conventional techniques in 60 @entity1 (25 males), median age 34.4 (range, 10-60.1) years, undergoing elective ileocolic resection for refractory @entity30 . Postoperatively, all @entity1 underwent measurement of pulmonary function tests every 12 hours, and were treated identically on a highly controlled protocol with regard to analgesic administration, feeding, and postoperative care. RESULTS: Of the 31 @entity1 assigned to laparoscopic and 29 to the conventional group, all had isolated @entity30 plus or minus the cecum. Median length of the incision was 5 cm in the laparoscopic group and 12 cm in the conventional group. Overall recovery of 80 percent of forced expiratory volume (one second) and forced vital capacity was a median of 2.5 days for laparoscopic and 3.5 days for conventional (P = 0.03). There was no difference in the amount of @entity1286 equivalents used between groups postoperatively. Flatus and first bowel movement returned a median of 3 and 4 days, respectively, after laparoscopic vs. 3.3 and 4 days, respectively, after conventional surgery (P = 0.21). Median length of stay was five (range, 4-30) days for laparoscopic, and six (range, 4-18) days for conventional surgery. Major complications occurred in one @entity1 in each group. Minor complications occurred in four laparoscopic and eight conventional @entity1 (P < 0.05). There were no deaths. Two laparoscopic @entity1 were converted to conventional as a result of @entity1104 or @entity32 . All @entity1 recovered well and there were no clinical recurrences in the follow-up period (median, 20; range, 12-45 months). CONCLUSIONS: Within a single institution, single surgical team, prospective, randomized trial, laparoscopic techniques offered a faster recovery of pulmonary function, fewer complications, and shorter length of stay compared with conventional surgery for selected @entity1 undergoing ileocolic resection for @entity30 .

Prospective, randomized trial comparing laparoscopic vs. conventional surgery for refractory ileocolic XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity1286 :: ('MESH:D009020', 'Chemical') :: ['morphine'] @entity1104 :: ('MESH:D000267', 'Disease') :: ['adhesions'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease of the terminal ileum", "Crohn's disease"]
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's disease']
