{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:22:40Z","timestamp":1768890160127,"version":"3.49.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2010,2,12]],"date-time":"2010-02-12T00:00:00Z","timestamp":1265932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Ileocolic resection for Crohn's disease can be performed entirely laparoscopically. However, an incision is needed for specimen extraction. This prospective observational study assessed the feasibility of endoscopic transcolonic specimen removal.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Endoscopic specimen removal was attempted in a consecutive series of ten patients scheduled for laparoscopic ileocolic resection. Primary outcomes were feasibility, operating time, reoperation rate, pain scores, morphine requirement and hospital stay. To assess applicability, outcomes were compared with previous data from patients who had laparoscopically assisted operations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Transcolonic removal was successful in eight of ten patients; it was considered not feasible in two patients because the inflammatory mass was too large (7\u20138 cm). Median operating time was 208 min and median postoperative hospital stay was 5 days. After surgery two patients developed an intra-abdominal abscess, drained laparoscopically or percutaneously, and one patient had another site-specific infection. The operation took longer than conventional laparoscopy, with no benefits perceived by patients in terms of cosmesis or body image.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Transcolonic removal of the specimen in ileocolic Crohn's disease is feasible in the absence of a large inflammatory mass but infection may be a problem. It is unclear whether the technique offers benefit compared with conventional laparoscopic surgery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.6932","type":"journal-article","created":{"date-parts":[[2010,2,12]],"date-time":"2010-02-12T15:00:36Z","timestamp":1265986836000},"page":"569-574","source":"Crossref","is-referenced-by-count":29,"title":["Laparoscopic resection with transcolonic specimen extraction for ileocaecal Crohn's disease"],"prefix":"10.1093","volume":"97","author":[{"given":"E J","family":"Eshuis","sequence":"first","affiliation":[{"name":"Department of Surgery and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"},{"name":"Department of Gastroenterology and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R P","family":"Voermans","sequence":"additional","affiliation":[{"name":"Department of Surgery and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"},{"name":"Department of Gastroenterology and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P C F","family":"Stokkers","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M I","family":"van Berge Henegouwen","sequence":"additional","affiliation":[{"name":"Department of Surgery and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Fockens","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W A","family":"Bemelman","sequence":"additional","affiliation":[{"name":"Department of Surgery and Hepatology, Academic Medical Centre, Amsterdam, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2010,2,12]]},"reference":[{"key":"2021070906490452900_bib1","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1111\/j.1365-2036.2007.03515.x","article-title":"Early versus late surgery for ileo-caecal Crohn's disease","volume":"26","author":"Aratari","year":"2007","journal-title":"Aliment Pharmacol Ther"},{"key":"2021070906490452900_bib2","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1097\/00000658-200001000-00006","article-title":"Risk factors for surgery and postoperative recurrence in Crohn's disease","volume":"231","author":"Bernell","year":"2000","journal-title":"Ann Surg"},{"key":"2021070906490452900_bib3","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1159\/000097950","article-title":"Short-term outcomes after laparoscopic ileocolic resection for Crohn's disease. 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