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Early experience in laparoscopic colectomy for refractory colitis in children

Stephens, L
Gillick, J
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2013-01
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CHILD HEALTH
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COLITIS
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There is limited literature endorsing the laparoscopic approach for the treatment of refractory colitis in children. We report our experiences of paediatric laparoscopic colectomies performed for ulcerative colitis. A retrospective review over a three year period was undertaken. Operative time, length of stay, post-operative analgesia, time to commencement of diet, and complications were recorded. Nine laparoscopic colectomies were performed. Median operative time was 320 minutes (range â 240-475). Mean time to commencement of full diet was 3.9 days (range 2-8). Median length of stay was 6 days (range - 5-16). In our experience, laparoscopic colectomy in children is a feasible and superior method to open colectomy and in our opinion, facilitates further restorative procedures and will become the default method of treatment in the near future.
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en
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