Laparoscopic Restorative Proctocolectomy with Ileal S-Pouch

Abstract

Use of a laparoscopic total proctocolectomy with ileal S-pouch-anal anastomosis reconstruction minimizes incision size and shortens hospital stay. At a teaching academic institution, the laparoscopic approach requires longer operative times yet a negligible cost disadvantage.

Laparoscopic colectomy and restorative proctocolectomy for familial adenomatous polyposis

“…The median surgical time was 300 min and postoperative hospital stay was 7 days, consistent with other reports in the literature (Table 5) [4,19,21,23,[27][28][29][30][31][32][33][34][35].…”

Feasibility of laparoscopic total proctocolectomy with ileal pouch–anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: results of a nationwide multicenter study

“…Some studies have failed to show any benefits of laparoscopic TPC-IPAA as compared with open TPC-IPAA [6][7][8][9][10], while others have shown favorable results [11][12][13]. Also, in those studies, the majority of the population comprised patients with ulcerative colitis (UC), and the number of patients with FAP was less than 100 in each study [9,[12][13][14][15][16][17][18]. Given that UC is often associated with high morbidity after surgery due to malnutrition, steroid use, and emergent conditions, such mixed heterogeneity in the population could be the cause of the inconsistent results in the previous studies.…”

Operative Outcomes of Open versus Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis in Ulcerative Colitis

“…19,20 However, the longer operation time and higher medical expenses are the disadvantages of laparoscopic surgery in UC patients. 16,20 In this study, the laparoscopic group had a longer operation time and the postoperative complication rate is higher than the open group. This is caused by a small sample size, and the initial learning curve of laparoscopic technique in UC.…”

“…[16][17][18] The timing of oral diet, which represents the return of bowel movement, is not different between the two groups. 17 Laparoscopic surgery has the benefit of smaller incisions and shorter hospital stay.…”

“…17 Laparoscopic surgery has the benefit of smaller incisions and shorter hospital stay. 16 And in the long term, postoperative intestinal obstruction and incisional hernia is lower in the laparoscopic group. 19,20 However, the longer operation time and higher medical expenses are the disadvantages of laparoscopic surgery in UC patients.…”