Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis

Gash, K; Goede, A. C.; Kaldowski, B; Vestweber, Boris; Dixon, A. R.

doi:10.1007/s00464-011-1814-y

Cited by 47 publications

(33 citation statements)

References 22 publications

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“…Several studies have reported SPLS feasi bility for ileocolonic resection for Crohn's disease 131,132 and IPAA for ulcerative colitis. [133][134][135] In a metaanalysis comparing SPLS to the standard laparoscopic approach for various conditions, we reported similar morbidity rates between the techniques and a reduced length of hospital stay after SPLS surgery. 136 However, these results were impaired by the retrospective design of the included studies.…”

Section: Factors Influencing Outcomessupporting

confidence: 58%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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Surgery is a key feature of IBD management. Up to 70% of patients with Crohn's disease and 35% of patients with ulcerative colitis will require surgery during the course of their disease. This Review provides an overview of IBD surgical management, focusing on the potential benefits and drawbacks of laparoscopy compared with open surgery. Emergency and elective indications for both laparoscopic and open surgery are detailed for patients with ulcerative colitis and Crohn's disease. Evidence-based comparative results of these surgical approaches are discussed, along with factors that influence patient outcomes. Upcoming new techniques for IBD surgical management, including single-port surgery, are also presented.

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Section: Factors Influencing Outcomessupporting

confidence: 58%

Surgical management of IBD—from an open to a laparoscopic approach

Maggiori

Panis

2013

Nat Rev Gastroenterol Hepatol

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“…Since then, several series have been reported, for both adult and pediatric patient populations 7-9 , but only from single institutions and with short periods of follow-up 10 11 . Restorative proctocolectomy by single-incision laparoscopic surgery SILS is safe and associated with good early functional outcomes when performed by an experienced laparoscopic surgeon 12 . SILS is useful for optical assistance, colon dissection, and specimen retrieval [13][14][15] .…”

Section: Discussionmentioning

confidence: 99%

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis

Takahiro:筆頭著者:責任著者

Kijima

Sato

et al. 2015

Showa Univ J Med Sci

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: We report the case of a 40-year-old woman with refractory ulcerative colitis UC whose condition did not improve despite aggressive medical therapy with a corticosteroid and an immunosuppressor. The patient underwent a total proctocolectomy by reduced port surgery RPS . A vertical incision of 30 mm was made through the umbilicus, and a laparoscope port and two working or assistant laparoscopic ports were inserted through the fascia. A 5 mm port was used as the terminal ileostomy site and another 5 mm port was used as a drain site marked preoperatively . The operator used a standard laparoscopic 5 mm atraumatic grasper for the left hand and a standard laparoscopic dissector or an Enseal energy device for the right hand. An ileal J-pouch was created extra-corporeally from the terminal ileum and then an ileal pouch-anal anastomosis IPAA was created by hand suturing. The diverting loop ileostomy was brought out through the right iliac fossa, and there was 30 cm of ileum between the diverting loop ileostomy and the IPAA. The surgical procedures were very similar to those normally used in laparoscopic colectomy. The duration of the surgery was 465 min, and blood loss was estimated at 240 ml. No intraoperative complications occurred, and conversion to conventional laparoscopic or open surgery was not needed. Laparoscopic total proctocolectomy using RPS compared with standard laparoscopic surgery may be preferred for young women because it reduces the wound size, minimizes postoperative pain, and enhances cosmesis.

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“…Although limited by a fairly low number of 5 patients with ulcerative colitis as well as familial adenomatous polyposis, they have shown technical feasibility of the method. In the following years SPLS proctocolectomy has also been investigated by other groups [42,43] . Gash et al [42] described a series of patients where restorative proctocolectomy was performed using a SPLS trocar through the existing or planed ileostomy site.…”

Section: Techniquementioning

confidence: 99%

“…In the following years SPLS proctocolectomy has also been investigated by other groups [42,43] . Gash et al [42] described a series of patients where restorative proctocolectomy was performed using a SPLS trocar through the existing or planed ileostomy site. In their analysis they reported no complications associated with the approach with good function of the pouch following ileostomy reversal.…”

Section: Techniquementioning

confidence: 99%

Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

Neumann¹,

Rijcken²

2016

WJGPT

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Single incision laparoscopic (SILS) restorative proctocolectomy with ileal pouch-anal anastomosis

Abstract: SILS restorative proctocolectomy is safe with good early functional outcomes when performed by an experienced laparoscopic surgeon.

Cited by 47 publications

References 22 publications

Surgical management of IBD—from an open to a laparoscopic approach

Surgical management of IBD—from an open to a laparoscopic approach

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis

Minimally invasive surgery for inflammatory bowel disease: Review of current developments and future perspectives

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