Benefits of a Straight Laparoscopic Restorative Proctocolectomy With Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Ozawa, Heita; Nakamura, Takatoshi; Ikeda, Atsushi; Naito, Masanori; Sato, Takeo; Onozato, Wataru; Ogura, Naoto; Watanabe, Masahiko

doi:10.1097/sle.0b013e3182447a88

Cited by 7 publications

(7 citation statements)

References 24 publications

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“…The differences in length of procedure were less pronounced than in previously reported data. The conversion rate from laparoscopic to open surgery was below 1% which is less than the rates from early laparoscopic reports of RPC . These improvements illustrate the effect of the learning curve and improved patient selection over the last decade.…”

Section: Discussionmentioning

confidence: 78%

A systematic review and meta‐analysis of laparoscopic vs open restorative proctocolectomy

et al. 2013

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Section: Discussionmentioning

confidence: 78%

A systematic review and meta‐analysis of laparoscopic vs open restorative proctocolectomy

et al. 2013

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“…Several studies have supported the role of laparoscopy by demonstrating faster recovery and better postoperative outcomes, but other reports did not show any no additional benefi ts conferred by performing the procedure laparoscopically. [25][26][27][28][29] While the usage of ASA score may not be accepted by all, it has withstood the test of time and has demonstrated that it is very predictive of outcomes following colectomy. [30][31][32][33] However, we do acknowledge that it does not take into account the impact of various other comorbidities.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Age in Ulcerative Colitis Patients with Ileal Pouch Creation—An Evaluation of Outcomes

Tan

Manoharan²,

Rajendran³

et al. 2015

Ann Acad Med Singap

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Introduction: The aim of the study was to determine if age at the creation of an ileal pouch-anal anastomosis (IPAA) has an impact on the outcomes in patients with ulcerative colitis (UC). Materials and Methods: A retrospective review of all patients who underwent IPAA for UC from 1999 to 2011 was performed. Long-term functional outcome was assessed using both the Cleveland Clinic and St Mark’s incontinence scores. Results: Eighty-nine patients, with a median age of 46 (range, 16 to 71) years, formed the study group. The median duration of disease prior to their pouch surgery was 7 (0.5 to 39) years. There were 57 (64%) patients who were aged ≤50 years old and 32 (36%) who were >50 years old. Fifty-seven (64%) patients developed perioperative complications of which 51 (89.5%) were minor. High ileostomy output (n = 21, 23.6%) and urinary symptoms (n = 13, 14.6%) were the most commonly encountered complications. The older patients were more likely to have an ASA score ≥3 and a longer length of stay. Although there was a higher incidence of complications in the older group of patients, the difference was not statistically significant. There were no significant differences in the incidence of severe complications. Forty-nine (55%) patients completed our questionnaire on the evaluation of their functional outcomes. There were no significant differences in the Cleveland Clinic and St Mark’s incontinence scores between the older (n = 19, 38.8%) and younger (n = 30, 61.2%) patients. There were also no significant differences in the frequency of bowel movements during the day or overnight after sleep between the 2 groups. Conclusion: IPAA procedure for patients with UC can be safely performed. Long-term functional outcome is not significantly influenced by the age at which the IPAA was created. Key words: Continence, Function

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“…Although the role of the laparoscopic technique in the treatment of UC remains controversial because of its complex nature and limited short‐term benefits, a subset of patients are thought to be good candidates for laparoscopic approach, as most of the patients with UC are young. Also, many may prefer the laparoscopic approach to the open approach in hope of potential benefits of minimal invasiveness . With advances in technology and increased experience with laparoscopic surgery, the feasibility and safety of LAP‐IPAA for UC has been reported in the elective setting .…”

Section: Discussionmentioning

confidence: 99%

Feasibility and safety of laparoscopic total proctocolectomy with ileal pouch‐anal anastomosis for severe ulcerative colitis

Kawamura

Hasegawa

Kawada

et al. 2013

Asian J Endoscop Surgery

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Benefits of a Straight Laparoscopic Restorative Proctocolectomy With Ileal Pouch Anal Anastomosis for Ulcerative Colitis

Abstract: An sLRP for UC has the advantage over an open restorative proctocolectomy of better short-term outcomes, and both groups have similar long-term outcomes. This procedure is acceptable for minimally invasive surgery in patients with UC.

Cited by 7 publications

References 24 publications

A systematic review and meta‐analysis of laparoscopic vs open restorative proctocolectomy

A systematic review and meta‐analysis of laparoscopic vs open restorative proctocolectomy

Assessment of Age in Ulcerative Colitis Patients with Ileal Pouch Creation—An Evaluation of Outcomes

Feasibility and safety of laparoscopic total proctocolectomy with ileal pouch‐anal anastomosis for severe ulcerative colitis

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