Laparoscopic Right Hemicolectomy for Crohn's Disease of the Terminal Ileum Utilizing the Mesenteric Excision and Exclusion

This study is comparing two surgical approaches for Crohn's disease affecting the end of the small intestine: one that removes extra tissue around the bowel (mesenteric excision) versus a standard resection. Researchers want to know if removing the surrounding mesentery reduces disease recurrence. **You may be eligible if...** - You are 16 years or older - You have Crohn's disease affecting the terminal ileum (end of the small intestine) and need surgery - You have had a recent colonoscopy and imaging (MRI, CT, or ultrasound) - You are currently on Crohn's disease medications (steroids, immunosuppressants, anti-TNF drugs, etc.) **You may NOT be eligible if...** - You are under 16 years old - You cannot give informed consent - You have had a major health event (heart attack, stroke, heart failure) in the past 6 months - You have other conditions that significantly increase surgical risk Talk to your doctor to see if this trial is right for you.