Techniques in Coloproctology

, Volume 23, Issue 6, pp 593–594 | Cite as

Laparoscopic subtotal colectomy with ileorectal anastomosis in complicated Crohn’s disease

  • I. Hameed
  • E. GorgunEmail author
Video Forum


In recent years, laparoscopic segmental colectomy for the management of colonic diseases has expanded. Several randomized controlled trials have shown that short-term postoperative outcomes with the laparoscopic approach are better than with open surgery [1, 2]. However, in complicated Crohn’s disease and ulcerative colitis requiring subtotal colectomy (STC), surgeons are more conservative in adopting laparoscopic surgery because the patients are often immunosuppressed, weak, or sometimes, hemodynamically unstable. Moreover, tactile sensation is not possible with the laparoscopic approach which is concerning considering tissue friability. Consequently, during patient workup, risks must be carefully weighed against benefits and surgeons’ experience to select the most suitable treatment.

In addition to the laparoscopic approach improving cosmesis and body image, which may be more important to younger patients [3, 4], evidence suggests that bowel adhesions may be reduced [5]....




Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study were in accordance with the ethical standards of the hospital’s institutional review board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent to publication of the video and images in this article was obtained from the concerned patient.

Supplementary material

Supplementary material 1 (MP4 242045 kb)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland ClinicClevelandUSA

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