Minimally invasive total Proctocolectomy with Brooke Ileostomy for Ulcerative Colitis

Long-Term Direct Costs Before and After Proctocolectomy for Ulcerative Colitis: A Population-Based Study in Olmsted County, Minnesota

“…Thus the effects of increasing use of infliximab has as yet unpredictable effects on costs. Regarding laparoscopic colectomy, although operating room costs may be increased, these additional expenses are offset by savings associated with short lengths of stay36, 38, 39 and are therefore cost-effective 40–42. Given the recent increased usage of both infliximab and laparoscopic surgery, further study is needed to better define the economic impact of these changes, as well as the impact of non-surgical and surgery therapy on QOL in this population.…”

Practice Parameters for the Surgical Treatment of Ulcerative Colitis

“…although many patients are treated effectively by a wide variety of medications, approximately 15% to 30% of patients will require or elect operative intervention. 6,7 although various treatment options are available for uC, this parameter will focus on the surgical management for the patient with uC. 1,2 failure to respond to medical therapy (ie, intractability) remains the most common surgical indication for uC.…”

“…6,7 it is a safe, effective, and curative operation that permits most patients to live a full, active lifestyle. 6,7 it is a safe, effective, and curative operation that permits most patients to live a full, active lifestyle.…”

Factors associated with postoperative morbidity, reoperation and readmission rates after laparoscopic total abdominal colectomy for ulcerative colitis

“…In a recent systematic review of pooled data from studies published from 1975 to 2007, the 30‐day operative morbidity and mortality rates associated with open surgery for severe colitis were as high as 40.1 and 1.8%, respectively, even in patients operated on in the last decade . There are several comparative studies indicating that laparoscopic TAC is a safe and feasible alternative to open colectomy in selected patients requiring surgery for severe UC . Moreover, there is evidence that the recovery benefit of initial laparoscopic TAC can facilitate subsequent pouch surgery .…”

“…There are several comparative studies indicating that laparoscopic TAC is a safe and feasible alternative to open colectomy in selected patients requiring surgery for severe UC . Moreover, there is evidence that the recovery benefit of initial laparoscopic TAC can facilitate subsequent pouch surgery . However, data are still limited on the specific factors that may be associated with the outcome after laparoscopic TAC for UC.…”