Laparoscopic 3-step restorative proctocolectomy: comparative study with open approach in 45 patients

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Mehdi OuaissiYves Panis

Abstract

To compare the results of a total laparoscopic versus open approach 3-time ileal pouch anal anastomosis (IPAA) for patients with acute or severe colitis complicating inflammatory bowel disease. Consecutive subtotal colectomy was followed by IPAA then by stoma closure. Between 2000 and 2006, 23 consecutive patients, operated through a total laparoscopic approach were well matched with 22 patients operated by open approach. Overall major complications rate was lower after laparoscopic than after open approach (5/23 vs. 9/22; NS). Mean hospital stay for the 3 consecutive procedures was significantly reduced after laparoscopic versus open approach (27+/-7 d vs. 39+/-27 d; P<0.05). Our case-control study suggests that, in experienced centers, a total laparoscopic approach can be viewed as a viable alternative to conventional open 3-step IPAA for the treatment of acute or severe colitis complicating inflammatory bowel disease.

References

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Citations

Nov 23, 2010·Inflammatory Bowel Diseases·Marios EfthymiouMichael A Kamm
Sep 25, 2008·Surgical Endoscopy·Jérémie H LefevreYves Panis
Feb 23, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Léon MaggioriYves Panis
May 10, 2016·World Journal of Gastrointestinal Pharmacology and Therapeutics·Philipp-Alexander Neumann, Emile Rijcken
Nov 11, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Fábio Guilherme CamposIvan Cecconello
Oct 28, 2014·Surgery Today·Keisuke HataToshiaki Watanabe
Aug 26, 2015·Asian Journal of Endoscopic Surgery·Hiroya KuroyanagiMasahiko Watanabe
Apr 9, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P SinghP Tekkis
Sep 1, 2015·Journal of Digestive Diseases·Rosario FornaroElisa Caratto
Nov 8, 2014·Diseases of the Colon and Rectum·David E MessengerRobin S McLeod

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