{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:57Z","timestamp":1787071377766,"version":"build-2736575974"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>In a mini-invasive surgery (MIS) era, what place holds open surgery for ileocecal resection in Crohn\u2019s disease? Our study aims to compare open versus laparoscopic surgery from a low-to-middle income country perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This was a retrospective study conducted in a colorectal referral centre in a low-to-middle income country from 2014 to 2020. We included all patients with Crohn\u2019s disease admitted in our department for ileocecal resection. Data were collected using chart review. Associations between postoperative complications and covariates were investigated using Pearson\u2019s Chi-square analysis, Fisher\u2019s exact test for qualitative variables, and\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      test or Wilcoxon rank sum test for quantitative variables.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 83 patients. The median age was 34 (18\u201375) and 54.2% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 45) were female. Open surgery was conducted in 46 cases (55.4%), 30 patients had laparoscopic ileocecal resection (36.1%), and 7 (8.4%) had conversion. When comparing open versus laparoscopic surgery, there was no significant difference in immediate postoperative complications (OR=0.424; 95% CI [0.10\u20131.66];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.209, Fisher\u2019s = 0.242). Length of stay was significantly different when comparing MIS versus non-MIS (ref(open),\n                      <jats:italic toggle=\"yes\">\u03b2<\/jats:italic>\n                      =\u22122.51;SE=0.93;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009). When analysing association of covariates with postoperative complications, open surgery was associated with blood transfusion during\/after surgery (OR=22.9; 95% CI [2.21\u2013236];\n                      <jats:italic toggle=\"yes\">P \u2264<\/jats:italic>\n                      0.001, Fisher\u2019s = 0.005), laparoscopic surgery was not (OR=13; 95% CI [0.57\u2013295];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.051, Fisher\u2019s0.193).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Laparoscopic surgery offers a lower risk of operative or postoperative bleeding and a shorter length of stay. It can be safe, effective, and feasible in low- and middle income countries if substantial efforts are made to address all barriers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_174_24","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T13:03:16Z","timestamp":1758546196000},"page":"274-278","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Retrospective Study of Open Versus Laparoscopic Ileocecal Resection in Crohn\u2019s Disease in an MIS Era: From a Low-to-Middle Income Country Perspective"],"prefix":"10.4103","volume":"16","author":[{"given":"Sarah","family":"Benammi","sequence":"first","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"},{"name":"General Surgery Department, Mohammed VI University of Sciences and Health, Casablanca, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youness","family":"Bakali","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaouad","family":"Naddouri","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mouna","family":"Alaoui","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farid","family":"Sabbah","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Raiss","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelmalek","family":"Hrora","sequence":"additional","affiliation":[{"name":"General Surgery Department, University Mohamed V of Rabat, Rabat, Morocco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"CIT0001-20260608","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1007\/s10350-004-7292-8","article-title":"Comparison of conventional and laparoscopic ileocolic resection for Crohn\u2019s disease","volume":"46","author":"Bergamaschi","year":"2003","journal-title":"Dis Colon Rectum"},{"key":"CIT0002-20260608","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1080\/110241500750009302","article-title":"Comparison of laparoscopically assisted and conventional ileocolic resection for Crohn\u2019s disease","volume":"166","author":"Alabaz","year":"2000","journal-title":"Eur J Surg"},{"key":"CIT0003-20260608","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/DCR.0b013e31819c9c08","article-title":"Impact of complex Crohn\u2019s disease on the outcome of laparoscopic ileocecal resection: a comparative clinical study in 124 patients","volume":"52","author":"Goyer","year":"2009","journal-title":"Dis Colon Rectum"},{"key":"CIT0004-20260608","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1007\/BF02234387","article-title":"Can laparoscopy reduce hospital stay in the treatment of Crohn\u2019s disease?","volume":"44","author":"Msika","year":"2001","journal-title":"Dis Colon Rectum"},{"key":"CIT0005-20260608","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1007\/s004640080078","article-title":"Advantages of laparoscopic resection for ileocolic Crohn\u2019s disease. Improved outcomes and reduced costs","volume":"15","author":"Young-Fadok","year":"2001","journal-title":"Surg Endosc"},{"key":"CIT0006-20260608","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1007\/s10350-004-6253-6","article-title":"Advantages of laparoscopic resection for ileocecal Crohn\u2019s disease","volume":"45","author":"Duepree","year":"2002","journal-title":"Dis Colon Rectum"},{"key":"CIT0007-20260608","doi-asserted-by":"crossref","first-page":"5796","DOI":"10.3390\/ijerph18115796","article-title":"Laparoscopy in low-income countries: 10-year experience and systematic literature review","volume":"18","author":"Pizzol","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"CIT0008-20260608","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4240\/wjgs.v9.i1.13","article-title":"Practice, training and safety of laparoscopic surgery in low and middle-income countries","volume":"9","author":"Alfa-Wali","year":"2017","journal-title":"World J. 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