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Surg Endosc. 1998 Nov;12(11):1334-40.

Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn's disease.

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  • 1Department of Gastrointestinal Surgery, Leiden University Medical Hospital Center, Post Office Box 9600, 2300 RC Leiden, The Netherlands.

Abstract

BACKGROUND:

The objectives of this study were to evaluate body image, cosmetic results, and quality of life in patients with Crohn's disease of the terminal ileum who had either laparoscopic-assisted or open ileocolic resection, and to determine how patients experienced the pre- and postoperative periods after both procedures.

METHODS:

Thirty-four patients participated: 11 patients after open resection (OR), 11 patients after laparoscopic-assisted resection (LR), and 12 patients without resection (WR). Retrospectively, the patients filled out several questionnaires pertaining to body image, hospital experiences, and quality of life. One-way analysis of variance, Student's t-tests, and Pearson's correlation were used for statistical analysis.

RESULTS:

The cosmetic score was significantly higher in the LR than in the OR group (p < 0.01). Body image correlated strongly with cosmesis and with quality of life. The hospital experiences of the laparoscopic and open groups were similar.

CONCLUSIONS:

Laparoscopic surgery was associated with better cosmesis than open surgery. Patients do not experience laparoscopic surgery any differently from open surgery.

PMID:
9788857
[PubMed - indexed for MEDLINE]
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