INTRODUCTION: The terminal ileum is the most involved tract in @entity30 . The obstruction in this location is the most frequent complication. Acute or chronic presentations can occur. Surgery finds a role in the management of chronic strictures and in acute clinical presentations with complications not improving with conservative therapy. @entity1 AND METHODS: We investigate the outcome of @entity1 with obstruction of the ileo-cecal bowel tract laparoscopically managed. It was analyzed the average operative time (OT), the conversion rate and the occurrence of re-operation due to surgical complications. RESULTS: 21 @entity1 underwent an ileocecal resection for complicated @entity30 between January 2013 and December 2014. The admissions were performed in emergency in 42% of @entity1 . The preintervention hospital stay was 5.8 (Sd 6.23). The mean operative time was 154 min (Sd 41). 28% of the procedures were converted to open surgery. The average hospital stay was 10 days (Sd 5) in uncomplicated @entity1 . The morbidity rate was 28%. In 19% of cases a re-intervention was needed due to @entity834 (3pts) and one hemoperitoneum for bleeding from the suture line. DISCUSSION: Laparoscopy seems an affordable technique in the management of obstructive pattern of @entity30 . It should be the preferable approach in young @entity1 that probably will be submitted to subsequent surgery for the same disease; in fact, the reduced adhesions formation provided by the less bowel manipulation make easy the subsequent access. Older @entity1 had usually more post-operative morbidity and mortality mostly due to pre-existing conditions; if possible in these @entity1 the treatment should be medical.

Laparoscopic ileocecal resection in acute and chronic presentations of XXXX . A single center experience.

@entity1 :: ('9606', 'Species') :: ['PATIENTS', 'patients'] @entity834 :: ('MESH:D057868', 'Disease') :: ['anastomotic leakage'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"]
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's disease']
