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- Title
Reduced-port laparoscopic restorative proctocolectomy without diverting ileostomy.
- Authors
Ueki, Takashi; Manabe, Tatsuya; Nagayoshi, Kinuko; Yanai, Kosuke; Moriyama, Taiki; Shimizu, Shuji; Tanaka, Masao
- Abstract
Introduction We introduced a reduced-port procedure for laparoscopic restorative proctocolectomy without diverting ileostomy for patients with familial adenomatous polyposis and ulcerative colitis. Materials and Surgical Technique A multichannel port was inserted through a 2.5-cm umbilical incision. A 12-mm port in the right lower abdomen and a 3- or 5-mm port were also employed. A proctocolectomy was performed intracorporeally, and the entire colon and rectum were delivered through the umbilical incision. An ileal J-pouch was made extracorporeally following division of the mesenteric vessels. Ileal j-pouch-anal anastomosis was performed intracorporeally or transanally after rectal mucosectomy. A drain was inserted through the 12-mm port incision, and a transanal decompression tube was placed in the pouch. Two women and one man underwent this surgery, and their postoperative recovery was uneventful. Discussion Laparoscopic restorative proctocolectomy without a diverting stoma by a reduced-port technique is feasible and provides excellent cosmetic outcomes in selected patients.
- Subjects
OPERATIVE surgery; RESTORATIVE proctocolectomy; ILEOSTOMY; ADENOMATOUS polyposis coli; ULCERATIVE colitis; PATIENTS
- Publication
Asian Journal of Endoscopic Surgery, 2015, Vol 8, Issue 4, p487
- ISSN
1758-5902
- Publication type
Article
- DOI
10.1111/ases.12201