Outcomes of a laparoscopic approach for total abdominal colectomy and proctocolectomy

Laparoscopic total colectomy: Does the indication influence the outcome?

“…Our data shows that this operation is feasible and safe with no mortality and acceptable morbidity, as reported in previous studies [3][4][5][6][7][8][9][10][11] (Table 5). The early postoperative results highlight problems with bowel function after total colectomy with a mean of 4.4 d until the first bowel movement.…”

“…For selected patients presenting with mild disease in the rectum, no dysplasia and with normal rectal compliance, a subtotal colectomy with ileo-distal sigmoid anastomosis may be an alternative and was performed in this study. Few published reports exist and mainly report techniques performed for a single indication or include small numbers of patients [3][4][5][6][7][8][9][10] . The aim of this study was to report the outcomes of laparoscopic total colectomy based on indication, comparing IBD with other indications.…”

Laparoscopic total proctocolectomy with ileal pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis: initial experience in Mexico

“…Our mean operative time was 187.5 min, fewer than that reported by the oldest series (330 min in the 2001 series of Marcello et al [5] and 292 min in the 2000 series of Dunker et al [6]), but similar to or less than the operative time reported for recent larger series (197 min in the 2006 series of McNevin et al [11] series, 210 min in the 2004 series of Maartense et al [1], and 320 min in the 2005 series of Kienle et al [4]. This can be explained by the experience in laparoscopic colonic surgery already achieved by the performing surgeon before attempting this procedure.…”

“…Despite the considerable advances in surgical technique, equipment, and surgeon experience over the past decade, the benefits of minimized physiologic impact and shortened recovery had been reported in only a few studies of experienced surgeons. Therefore, some authors considered that the indications for these procedures in UC remain controversial [10,11]. However, a recent prospective study by Larson et al [12] and a randomized controlled trial by Maartense et al [1] concluded that laparoscopic proctocolectomy with IPAA offered a safe, feasible, and durable alternative.…”

“…We present a small series (10 cases) compared with larger series (50 patients in the series of Kienle et al [4], 32 patients in the series of both Ky AJ et al [14] and McNevin et al [11], and 20 patients in the series of Marcello et al [5]). However, the current series is the largest reported for Mexico, one of the largest countries in Latin America.…”