Laparoscope-assisted versus conventional restorative proctocolectomy with rectal mucosectomy

Akihiko Hashimoto, Yuji Funayama, Hiroo Naito, Kohei Fukushima, Chikashi Shibata, Takeshi Naito, Kazuhiko Shibuya, Kaori Koyama, Ken Ichi Takahashi, Hitoshi Ogawa, Shun Satoh, Tatsuya Ueno, Taku Kitayama, Seiki Matsuno, Iwao Sasaki

Research output: Contribution to journalArticlepeer-review

55 Citations (Scopus)

Abstract

To assess the advantages of a laparoscope-assisted proctocolectomy with ileal J-pouch anal anastomosis compared with conventional procedures, we retrospectively analyzed the results of the two procedures as follows: Eleven patients including five patients with familial adenomatous polyposis (FAP) and six with ulcerative colitis (UC) underwent a laparoscope-assisted proctocolectomy and hand-sewn ileal J-pouch anal anastomosis at our department from June 1997 to November 1999. This laparoscope-assisted colectomy (LAC) group was then compared with a group of 13 patients who had undergone conventional ileal pouch anal anastomosis using a standard laparotomy from 1986 to 1997. The median operative time of the LAC group was 8 h 23 min, which was 81 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 cosmetic results and there was also a remarkable reduction in the degree of postoperative pain. In conclusion, a laparoscope-assisted proctocolectomy with ileal J-pouch anal anastomosis can be employed widely in patients with FAP and also in selected patients with UC.

Original languageEnglish
Pages (from-to)210-214
Number of pages5
JournalSurgery today
Volume31
Issue number3
DOIs
Publication statusPublished - 2001 Apr 10

Keywords

  • Familial adenomatous coli
  • Ileal pouch anal anastomosis
  • Laparoscopic colectomy
  • Ulcerative colitis

ASJC Scopus subject areas

  • Surgery

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