Laparoscope-assisted versus conventional restorative proctocolectomy with rectal mucosectomy

Citation
A. Hashimoto et al., Laparoscope-assisted versus conventional restorative proctocolectomy with rectal mucosectomy, SURG TODAY, 31(3), 2001, pp. 210-214
Citations number
14
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Surgery
Journal title
SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY
ISSN journal
0941-1291 → ACNP
Volume
31
Issue
3
Year of publication
2001
Pages
210 - 214
Database
ISI
SICI code
0941-1291(2001)31:3<210:LVCRPW>2.0.ZU;2-H
Abstract
To assess the advantages of a laparoscope-assisted proctocolectomy with ile al J-pouch anal anastomosis compared with conventional procedures, we retro spectively analyzed the results of the two procedures as follows: Eleven pa tients including five patients with familial adenomatous polyposis (FAP) an d six with ulcerative colitis (UC) underwent a laparoscope-assisted proctoc olectomy and hand-sewn ileal J-pouch anal anastomosis at our department fro m June 1997 to November 1999. This laparoscope-assisted colectomy (LAC) gro up was then compared with a group of 13 patients who had undergone conventi onal ileal pouch anal anastomosis using a standard laparotomy from 1986 to 1997. The median operative time of the LAC group was 8h 23 min, which was 8 1 min longer than that of the standard colectomy (SC) group. The number of days during which eating was prohibited were similar in the two groups but the median postoperative hospital stay was significantly shorter in the LAC group (24.1 days). In the LAC group, the small incisions showed better cos metic results and there was also a remarkable reduction in the degree of po stoperative pain. In conclusion, a laparoscope-assisted proctocolectomy wit h ileal J-pouch anal anastomosis can be employed widely in patients with FA P and also in selected patients with UC.