Laparoscopic-assisted proctocolectomy using complete intracorporeal dissection

Rotholtz, Nicolás A.; Aued, María Laura; Lencinas, Sandra; Zanoni, G; Laporte, Mariano; Bun, Maximiliano; Boerr, Luis A.; Mezzadri, Norberto A

doi:10.1007/s00464-007-9616-y

Cited by 7 publications

(5 citation statements)

References 22 publications

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“…In our study, no patients developed a wound infection, as the incision was minimal. The median operation time in our study was longer than that reported for HALS in recent studies of UC, but was similar to that for straight LTP in other series (5,13–19) (Table 4). The mean blood loss volume was less than in other series, and no patient required a blood transfusion in any of these studies.…”

Section: Discussionsupporting

confidence: 88%

Minimally invasive straight laparoscopic total proctocolectomy for ulcerative colitis

Ozawa

Kokuba

Nakamura

et al. 2010

Asian J Endoscop Surgery

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Introduction:We have performed straight laparoscopic total proctocolectomy for ulcerative colitis, in which all procedures, including transection of the rectum and anastomosis, were performed in the abdominal cavity. The primary objective of this study was to evaluate whether straight laparoscopic total proctocolectomy is technically feasible and safe. Methods: A retrospective database identified 22 consecutive patients who underwent straight laparoscopic total proctocolectomy for ulcerative colitis between March 1998 and September 2007. Patients were excluded if they required emergency surgery. First, to create a stoma site, a minilaparotomy to insert a 15 mm trocar was performed. Seven other trocars, 5 mm in diameter, were then inserted. Mobilization and dissection of the colorectum and anastmosis were performed completely intracorporeally under laparoscopic guidance. Anastomosis of an ileal J-pouch to the anal canal was performed using the double-stapling technique. Results: Nineteen patients were underwent ileal pouch anal canal anastomosis; two underwent ileorectal anastomosis; and one underwent abdominoperineal resection. The median operation time was 355 min (range 255-605); the median blood loss was 50 g (range 0-800); and the median postoperative hospital stay was 24.5 d. Postoperative complications occurred in eight patients, including three (13.6%) with bowel obstruction, two (9.1%) with portal vein thrombosis, one (4.5%) with anastomotic leakage, and one (4.5%) with postoperative hemorrhage. The morbidity rate was 36.4%. There were no intraoperative complications or conversions to conventional surgery. Conclusion: In the context of this study, we have shown that straight laparoscopic total proctocolectomy is technically feasible and safe in patients with ulcerative colitis. APR, abdominoperineal resection; IPAA, ileal pouch-anal canal anastomosis; IRA, ileo-rectal anastomosis; LTC, laparoscopic total colectomy; LTP, laparoscopic total proctocolectomy. H Ozawa et al. Laparoscopic total proctocolectomy for ulcerative colitis Asian J Endosc Surg 3 (2010) 24-27 r 2009 Asia Endosurgery Task Force and Blackwell Publishing Asia Pty Ltd H Ozawa et al. Laparoscopic total proctocolectomy for ulcerative colitis Asian J Endosc Surg 3 (2010) 24-27 r

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Section: Discussionsupporting

confidence: 88%

Minimally invasive straight laparoscopic total proctocolectomy for ulcerative colitis

Ozawa

Kokuba

Nakamura

et al. 2010

Asian J Endoscop Surgery

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“…Other authors also report using this approach to proctectomy for IBD. 14 Rink et al, on the other hand, prefer to preserve the mesorectal fat when performing IPAA for patients with ulcerative colitis, citing a lower rate of local septic complications. 15 This, however, has not been verified in a comparison study, and most reports in the literature do not specify the technique for rectal dissection for benign disease, making a retrospective analysis difficult.…”

Section: Discussionmentioning

confidence: 99%

Robotic-Assisted Proctectomy for Inflammatory Bowel Disease: A Case-Matched Comparison of Laparoscopic and Robotic Technique

Miller

Berian

Rubin

et al. 2012

Journal of Gastrointestinal Surgery

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“…When TME was compared with conventional rectal cancer surgery, the local and overall recurrence rate after surgery decreased from 25% to 5% and from 62% to 22%, respectively [1,2]. The mesorectal plane is anatomically based and bloodless, so this dissection plane is also used in the treatment of a wide variety of colorectal pathologies, including inflammatory bowel disease or rectal prolapse, especially in cases where a laparoscopic approach is used [3,4].…”

Section: Introductionmentioning

confidence: 99%

Male sexual function after laparoscopic total mesorectal excision

et al. 2013

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Laparoscopic-assisted proctocolectomy using complete intracorporeal dissection

Abstract: A complete laparoscopic proctocolectomy dissection is feasible and safe for surgical treatment of UC.

Cited by 7 publications

References 22 publications

Minimally invasive straight laparoscopic total proctocolectomy for ulcerative colitis

Minimally invasive straight laparoscopic total proctocolectomy for ulcerative colitis

Robotic-Assisted Proctectomy for Inflammatory Bowel Disease: A Case-Matched Comparison of Laparoscopic and Robotic Technique

Male sexual function after laparoscopic total mesorectal excision

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