“…Many studies have since compared laparoscopic versus conventional open ileal pouch-anal anastomosis and ileorectal anastomosis to determine the feasibility of laparoscopy in the setting of prophylactic surgery for the management of FAP (2)(3)(4)(5)(6)(7)(9)(10)(11)(12)(13)(14). In comparison to an open approach, benefits of laparoscopic surgery may include shorter length of stay (3,4,10,11,13,14), less need for intra-operative blood transfusion (5,6,8,14), lower rate of desmoid tumors post-operatively (3,9) decreased incidence of post-operative superficial surgical site infection (3,7,10), and a lower rate of minor, short-term complications (4,7,11,13) with no increase in major, longterm complications (11). However, many of these analyses included adult patients, cohorts consisting of both patients with FAP and ulcerative colitis, and/or were small singleinstitution studies and are thus not widely generalizable to the pediatric patient population.…”