Laparoscope-Assisted Versus Conventional Restorative Proctocolectomy with Rectal Mucosectomy View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2001-03

AUTHORS

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

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. More... »

PAGES

210-214

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s005950170170

DOI

http://dx.doi.org/10.1007/s005950170170

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1013336265

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11318122


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