{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:49:45Z","timestamp":1792612185259,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,3,30]],"date-time":"2012-03-30T00:00:00Z","timestamp":1333065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Aim\u2002<\/jats:bold>\n                    Studies to date examining the impact of laparoscopy in resection for Crohn's disease on short\u2010term morbidity have been limited by small study populations. The aim of this study was to establish the impact of the operative approach (laparoscopic or open) on outcomes after ileocolic resection for Crohn\u2019s disease.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method\u2002<\/jats:bold>\n                    Ileocolic resections for Crohn\u2019s disease were identified using Current Procedural Terminology (CPT) and International Classification of Disease, Ninth Revision, Clinical Modification (ICD\u20109\u2010CM) codes from the National Surgical Quality Improvement Program (NSQIP) database (2005\u20132009). Complications were categorized as major (organ system damage and systemic sepsis) or minor (incisional and urinary infections). Multivariate 30\u2010day outcomes and length of stay were determined using linear models adjusting for patient characteristics, comorbidities and operative approach.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    Of 1917 ileocolic resections, 644 (34%) were performed laparoscopically. At baseline, the open group was significantly older, had more comorbidities, higher American Society of Anesthesiology (ASA) classes, and more intra\u2010operative transfusions (all variables,\n                    <jats:italic>P<\/jats:italic>\n                    \u2003&lt;\u20030.05). On multivariate analysis, laparoscopic ileocolic resections were associated with a decrease in major (OR\u2003=\u20030.629, 95% CI: 0.430\u20130.905,\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.014) and minor (OR\u2003=\u20030.576, 95% CI: 0.405\u20130.804,\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.002) complications compared with open resections. Laparoscopy was associated with a significant reduction in adjusted length of stay compared with the open approach (\u22121.08\u2003\u00b1\u20030.29\u2003days,\n                    <jats:italic>P<\/jats:italic>\n                    \u2003=\u20030.0002).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion\u2002<\/jats:bold>\n                    After adjusting for comorbidities and perioperative factors, such as preoperative sepsis, higher ASA class and higher transfusion rates in the open group, laparoscopic ileocolic resection for Crohn\u2019s disease was found to be a safer choice than the open approach, resulting in fewer complications and length of stay. All other things being equal, such patients should be offered the laparoscopic approach as a first\u2010choice option.\n                  <\/jats:p>","DOI":"10.1111\/j.1463-1318.2011.02756.x","type":"journal-article","created":{"date-parts":[[2011,8,10]],"date-time":"2011-08-10T16:05:05Z","timestamp":1312992305000},"page":"572-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":81,"title":["A laparoscopic approach reduces short\u2010term complications and length of stay following ileocolic resection in Crohn\u2019s disease: an analysis of outcomes from the NSQIP database"],"prefix":"10.1111","volume":"14","author":[{"given":"Y.","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. J.","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.\u2010P.","family":"Deeb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Gunzler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Messing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. R. T.","family":"Monson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,30]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-009-0362-1"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200106000-00002"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01589.x"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-009-0853-3"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0500-3"},{"key":"e_1_2_6_7_2","first-page":"CD006956","article-title":"Laparoscopic versus open surgery for small bowel Crohn\u2019s disease","volume":"1","author":"Dasari BVM","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0855-0"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.08.016"},{"key":"e_1_2_6_10_2","unstructured":"ACS\u2010NSQIP.Program specifics. Surgical case inclusion\/exclusion overview.2009[updated 2009; cited 2009]; Available at:http:\/\/acsnsqip.org\/main\/program_case_inclusion_exclusion.asp."},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-006-0782-0"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181fb4232"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/110241500750009302"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234387"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/109264204322973808"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000197318.37459.ec"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234810"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6253-6"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537-2995.2007.01158.x"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000186"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-9103-4"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1463-1318.2011.02756.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1463-1318.2011.02756.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,6]],"date-time":"2025-04-06T06:52:36Z","timestamp":1743922356000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1463-1318.2011.02756.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,30]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,5]]}},"alternative-id":["10.1111\/j.1463-1318.2011.02756.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1463-1318.2011.02756.x","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,30]]},"assertion":[{"value":"2012-03-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}