Outcomes of a laparoscopic approach for total abdominal colectomy and proctocolectomy

American Journal of Surgery
M Shane McNevinDaniel Bates

Abstract

The role of laparoscopy for total abdominal colectomy (TAC) and total proctocolectomy (TPC) has been controversial given its technical difficulty, high conversion rate, and complication rate. Recent studies have documented its efficacy for experienced laparoscopic surgeons. The outcomes of a prospective series of patients undergoing TAC and TPC are presented. A consecutive series of patients undergoing TAC or TPC were identified from prospectively collected data during 2002 to 2005. The database reflects a single colon and rectal surgical specialty practice. Patient characteristics, surgical parameters, and patient outcomes were documented. From a total of 51 patients, 19 underwent TAC and 32 underwent TPC. There were 26 women and 35 men. The mean patient age was 40 years (range, 17-74 y). The mean body mass index was 25 (range, 19-38). Twelve patients underwent surgery for colonic inertia, 2 for familial adenomatous polyposis, and 37 for chronic ulcerative colitis. Of the ulcerative colitis patients, 8 patients had toxic colitis, 4 had dysplasia, and 25 had medically refractory disease. The overall mean surgical time was 163 minutes (range, 85-227 min): the mean surgical time for TAC was 131 minutes (range, 85-189 min) and for...Continue Reading

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Citations

Oct 1, 2011·Surgical Endoscopy·Alessandro Fichera, Marco Zoccali
Jul 9, 2008·Diseases of the Colon and Rectum·Charles P HeiseBruce A Harms
Jul 25, 2008·Annals of Surgery·Henrik Kehlet, Douglas W Wilmore
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Fábio Guilherme CamposIvan Cecconello
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Charudutt ParanjapeDaniel Guyton
Sep 28, 2015·International Journal of Colorectal Disease·Khaled El-AsmarMosad El-Behery
Sep 3, 2014·International Journal of Surgery·Nicola CarlomagnoAndrea Renda
Jun 15, 2007·The Surgical Clinics of North America·Todd PonskyAnthony Sandler
Jan 30, 2007·Gastroenterology·Ole HoieUNKNOWN European Collaborative Study Group of Inflammatory Bowel Disease

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