{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:13:02Z","timestamp":1787019182061,"version":"build-2736575974"},"reference-count":18,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T00:00:00Z","timestamp":1525910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purposes:<\/jats:title>\n                    <jats:p>Over 80% of patients with primary ileocolic Crohn\u2019s disease have a surgical resection within 10\u2009years of diagnosis, and 40%\u201350% of them need further surgery within 15\u2009years. Laparoscopic surgery can be challenging due to a thickened mesentery and the potential for fistulas, abscesses, and phlegmons. Aim of this study is to analyze the short-term outcomes of laparoscopic redo ileocolic resections for Crohn\u2019s disease in patients with previous multiple laparotomies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All patients undergoing laparoscopic surgery for ileocolic Crohn\u2019s disease from March 2006 to February 2017 were prospectively evaluated. Short term outcomes of laparoscopic ileocolic resection were compared between patients with previous multiple major surgeries and recurrent Crohn\u2019s disease, and patients undergoing surgery for the first presentation of Crohn\u2019s disease and no history of previous surgery. Conversion rate and 30-day morbidity were the primary outcomes. Reoperations, readmissions, operating time and length of stay were the secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>29 patients with recurrent Crohn\u2019s disease and previous multiple laparotomies were included: the number of laparotomies these patients previously underwent was 2 in 19 cases (65.5%), 3 in 9 (31%), and 4 in 1 (3.5%). In total, 90 patients with no history of any previous abdominal surgery, who underwent laparoscopic ileocecal resection for Crohn\u2019s disease, represented the control group. No differences were found in morbidity and conversion rate. Operating time was longer in patients with history of previous abdominal surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Laparoscopic redo ileocolic resection for Crohn\u2019s disease is feasible and safe in patients with previous multiple laparotomies at the expense of longer operating time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1457496918772370","type":"journal-article","created":{"date-parts":[[2018,5,10]],"date-time":"2018-05-10T03:23:46Z","timestamp":1525922626000},"page":"42-48","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Laparoscopic Redo Ileocolic Resection for Crohn\u2019s Disease in Patients with Previous Multiple Laparotomies"],"prefix":"10.1177","volume":"108","author":[{"given":"V.","family":"Celentano","sequence":"first","affiliation":[{"name":"Colorectal Unit, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Sagias","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. G.","family":"Flashman","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Conti","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Khan","sequence":"additional","affiliation":[{"name":"Colorectal Unit, Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,5,10]]},"reference":[{"key":"bibr1-1457496918772370","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-012-0919-7"},{"key":"bibr2-1457496918772370","volume":"19","author":"Dasari BV","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr3-1457496918772370","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01589.x"},{"key":"bibr4-1457496918772370","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/381017"},{"key":"bibr5-1457496918772370","unstructured":"Gordon PH, Nivatvongs S: Crohn\u2019s Disease. 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