TY - JOUR
T1 - Minimally invasive surgery for paediatric inflammatory bowel disease
T2 - Personal experience and literature review
AU - Pini-Prato, Alessio
AU - Faticato, Maria Grazia
AU - Barabino, Arrigo
AU - Arrigo, Serena
AU - Gandullia, Paolo
AU - Mazzola, Cinzia
AU - Disma, Nicola
AU - Montobbio, Giovanni
AU - Mattioli, Girolamo
PY - 2015/10/28
Y1 - 2015/10/28
N2 - The incidence of paediatric inflammatory bowel disease (PIBD) has dramatically increased in the last 20 years. Although first reported in mid 1970s', diagnostic laparoscopy has started to be routinely adopted in paediatric surgical practice since late 1990s'. Minimally invasive surgery was first limited to diagnostic purposes. After 2002 it was also applied to the radical treatment of PIBD, either Crohn's disease (CD) or Ulcerative colitis. During the last decade minimally invasive approaches to PIBD have gained popularity and have recently became the "gold standard" for the treatment of such invalidating and troublesome chronic diseases. The authors describe and track the historical evolution of minimally invasive surgery for PIBD and address all available opportunities, including most recent advancements such as robotic surgery, single port approaches and minimally invasive treatment of perianal fistulising CD. A systematic review of all series of PIBD treated with minimally invasive approaches published so far is provided in order to determine the incidence and type of patients' complications reported up to present days. The authors also describe their experience with minimally invasive surgery for PIBD and will report the results of 104 laparoscopic procedures performed in a series of 61 patients between January 2006 and December 2014.
AB - The incidence of paediatric inflammatory bowel disease (PIBD) has dramatically increased in the last 20 years. Although first reported in mid 1970s', diagnostic laparoscopy has started to be routinely adopted in paediatric surgical practice since late 1990s'. Minimally invasive surgery was first limited to diagnostic purposes. After 2002 it was also applied to the radical treatment of PIBD, either Crohn's disease (CD) or Ulcerative colitis. During the last decade minimally invasive approaches to PIBD have gained popularity and have recently became the "gold standard" for the treatment of such invalidating and troublesome chronic diseases. The authors describe and track the historical evolution of minimally invasive surgery for PIBD and address all available opportunities, including most recent advancements such as robotic surgery, single port approaches and minimally invasive treatment of perianal fistulising CD. A systematic review of all series of PIBD treated with minimally invasive approaches published so far is provided in order to determine the incidence and type of patients' complications reported up to present days. The authors also describe their experience with minimally invasive surgery for PIBD and will report the results of 104 laparoscopic procedures performed in a series of 61 patients between January 2006 and December 2014.
KW - Complications
KW - Crohn's disease
KW - Laparoscopy
KW - Minimally invasive approach
KW - Paediatric inflammatory bowel disease
KW - Ulcerative colitis
UR - http://www.scopus.com/inward/record.url?scp=84944916380&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84944916380&partnerID=8YFLogxK
U2 - 10.3748/wjg.v21.i40.11312
DO - 10.3748/wjg.v21.i40.11312
M3 - Article
AN - SCOPUS:84944916380
VL - 21
SP - 11312
EP - 11320
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
SN - 1007-9327
IS - 40
ER -