ALGORITHMS OF SURGICAL TACTICS IN COMPLICATIONS OF CROHN'S DISEASE AND ULCERATIVE COLITIS IN CHILDREN

Abstract

The article presents a retrospective analysis of the outcomes of surgical treatment for Crohn's disease (CHD). The study involved 102 patients aged 4 to 17 years, of whom 66 underwent laparoscopic surgery and 36 underwent open surgery. No postoperative mortality was recorded. The rate of complications requiring repeat intervention was 4 (6.1%) in the laparoscopic group and 7 (19.4%) in the open surgery group. In the laparoscopic group, the complications included an intra-abdominal abscess, insufficiency of the small-large intestine anastomosis, stenosis of the lower colorectal anastomosis, and an obstruction of adhesion origin. Blood transfusions were required in 2 (3.03%) patients during laparoscopy and 5 (13.9%) during open operations. The study suggests that laparoscopic technology is a promising approach in the treatment of Crohn's disease, especially in minimizing complications and achieving good functional and cosmetic outcomes. The results indicate that CHD, which affects various parts of the gastrointestinal tract, is not a limitation or contraindication for performing laparoscopic resection of the small and large intestine, and in fact, it is considered superior to open surgery. This study suggests that laparoscopic techniques may offer a valuable new approach in pediatric coloproctology.