Laparoscopic Surgery for Crohn's disease

Possible challenges to laparoscopic surgery in Crohn's disease:
- Inflammatory mass
- abscess
- anatomical orientation: previous operation, fistualous connections
- adhesions
- difficult dissesction
- bleeding high conversion rate

Patient preparation:
- Drain abscess: keep drain until time of surgery
- Optimize nutrition with elemental diet (preferable over TPN)

SB resections:
- if single site can consider intracorporeal anastamosis
- if multiple sites will be faster to exteriorize each site

conversion to open procedure is not associated with an adverse outcome.

Laparoscopic resection only accounts for <10% of crohn's resection
-no impact on Long term QOL or function.