Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis
Aim: The aim was to study the feasibility of the laparoscopic approach in the management of ulcerative colitis, to assess the functional results at 1-year and to review of literature on the topic. Materials and Methods: All patients presenting for surgical management of histopathologically proven ul...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=3;spage=177;epage=183;aulast=Jani |
| _version_ | 1818083588355129344 |
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| author | Kalpesh Jani Amit Shah |
| author_facet | Kalpesh Jani Amit Shah |
| author_sort | Kalpesh Jani |
| collection | DOAJ |
| description | Aim: The aim was to study the feasibility of the laparoscopic approach in the management of ulcerative colitis, to assess the functional results at 1-year and to review of literature on the topic. Materials and Methods: All patients presenting for surgical management of histopathologically proven ulcerative colitis during the study period were included in the study. All patients presenting in a non-emergency setting were offered a two-stage procedure (Group A). The first-stage consisted of laparoscopic total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) with a diverting split end ileostomy. Ileostomy was closed in the second stage. For patients presenting in acute setting (Group B), the first-stage consisted of laparoscopic TPC with end ileostomy followed by IPAA with diverting split end ileostomy in the second-stage and finally ileostomy closure in the third-stage. The technique is described. Results: A total of 31 cases underwent laparoscopic TPC-IPAA, of which 28 belonged to Group A and 3 were included in Group B. All surgeries were successfully completed laparoscopically without need for conversion. The average operating time was 375 min in Group A (range: 270-500 min) and 390 min in Group B (range: 250-480 min). Oral diet was resumed at a mean of 3.4 days (range: 1.5-6 days) and the mean hospital stay was 8.2 days (range: 4-26 days). Overall morbidity rate was 16.2%; re-operation rate was 9.7% while mortality was nil. Conclusions: Laparoscopic TPC-IPAA is feasible in acute as well as non-acute setting in patients needing surgical management of ulcerative colitis. |
| first_indexed | 2024-12-10T19:40:23Z |
| format | Article |
| id | doaj.art-32bcb632b42748a48a768caa6448f609 |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-10T19:40:23Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-32bcb632b42748a48a768caa6448f6092022-12-22T01:36:00ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212015-01-0111317718310.4103/0972-9941.140212Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitisKalpesh JaniAmit ShahAim: The aim was to study the feasibility of the laparoscopic approach in the management of ulcerative colitis, to assess the functional results at 1-year and to review of literature on the topic. Materials and Methods: All patients presenting for surgical management of histopathologically proven ulcerative colitis during the study period were included in the study. All patients presenting in a non-emergency setting were offered a two-stage procedure (Group A). The first-stage consisted of laparoscopic total proctocolectomy (TPC) with ileal pouch-anal anastomosis (IPAA) with a diverting split end ileostomy. Ileostomy was closed in the second stage. For patients presenting in acute setting (Group B), the first-stage consisted of laparoscopic TPC with end ileostomy followed by IPAA with diverting split end ileostomy in the second-stage and finally ileostomy closure in the third-stage. The technique is described. Results: A total of 31 cases underwent laparoscopic TPC-IPAA, of which 28 belonged to Group A and 3 were included in Group B. All surgeries were successfully completed laparoscopically without need for conversion. The average operating time was 375 min in Group A (range: 270-500 min) and 390 min in Group B (range: 250-480 min). Oral diet was resumed at a mean of 3.4 days (range: 1.5-6 days) and the mean hospital stay was 8.2 days (range: 4-26 days). Overall morbidity rate was 16.2%; re-operation rate was 9.7% while mortality was nil. Conclusions: Laparoscopic TPC-IPAA is feasible in acute as well as non-acute setting in patients needing surgical management of ulcerative colitis.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=3;spage=177;epage=183;aulast=JaniFunctional outcomeileal pouch-anal anastomosisileal pouchlaparoscopic total proctocolectomyulcerative colitis |
| spellingShingle | Kalpesh Jani Amit Shah Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis Journal of Minimal Access Surgery Functional outcome ileal pouch-anal anastomosis ileal pouch laparoscopic total proctocolectomy ulcerative colitis |
| title | Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis |
| title_full | Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis |
| title_fullStr | Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis |
| title_full_unstemmed | Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis |
| title_short | Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis |
| title_sort | laparoscopic total proctocolectomy with ileal pouch anal anastomosis for ulcerative colitis |
| topic | Functional outcome ileal pouch-anal anastomosis ileal pouch laparoscopic total proctocolectomy ulcerative colitis |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2015;volume=11;issue=3;spage=177;epage=183;aulast=Jani |
| work_keys_str_mv | AT kalpeshjani laparoscopictotalproctocolectomywithilealpouchanalanastomosisforulcerativecolitis AT amitshah laparoscopictotalproctocolectomywithilealpouchanalanastomosisforulcerativecolitis |