Prevalence of laparoscopic surgical treatment and its clinical outcomes in patients with familial adenomatous polyposis in Japan

International Journal of Clinical Oncology
Hideki UenoHideyuki Ishida

Abstract

Laparoscopic surgery is becoming the preferred technique for most colorectal interventions. This study aimed to clarify the time trend of surgical treatment for familial adenomatous polyposis (FAP) and its relevance to clinical outcomes in Japan over a 13-year period. This was a multicenter retrospective cohort study comprising 23 specialist institutions for colorectal disease and a cohort of 282 FAP patients who underwent total colectomy or proctocolectomy during 2000-2012. Patient clinical backgrounds and surgical outcomes were compared between the first and second halves of the study period. The proportion of surgical types adopted over the entire study period was 46, 21, 30, and 3 % for ileoanal anastomosis (IAA), ileoanal canal anastomosis, ileorectal anastomosis, and permanent ileostomy, respectively. FAP patients undergoing laparoscopic surgery have increased since 2008 and reached 74 % in the past 3 years. In particular, the number of patients undergoing laparoscopic proctocolectomy with IAA increased approximately four-fold from the first to the second half of the study period. A laparoscopic approach was increasingly used in patients with coexisting colorectal malignancies. Despite this trend, surgical results of the ...Continue Reading

References

Jul 1, 1992·Diseases of the Colon and Rectum·S D WexnerD G Jagelman
Aug 9, 2003·Diseases of the Colon and Rectum·James ChurchUNKNOWN Collaborative Group of the Americas on Inherited Colorectal Cancer and the Standards Committee of The American Society of Co
Sep 18, 2004·International Journal of Clinical Oncology·Takeo IwamaUNKNOWN Japanese Society for Cancer of the Colon and Rectum
Dec 14, 2004·The British Journal of Surgery·P KienleM W Büchler
Sep 25, 2008·Surgical Endoscopy·Jérémie H LefevreYves Panis
Jul 21, 2009·Diseases of the Colon and Rectum·Andre da Luz MoreiraCarol A Burke
Dec 8, 2010·Surgical Endoscopy·Marco VitellaroLucio Bertario
Jun 22, 2011·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·F J McNicolS K Clark
Oct 18, 2011·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Fábio Guilherme CamposIvan Cecconello
Oct 22, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Thévy HorYann Parc
Aug 15, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·P GanschowM Kadmon

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Citations

May 22, 2020·International Journal of Colorectal Disease·Minghao XiePing Lan
Dec 5, 2019·Pleura and Peritoneum·Timothy ChittleboroughRobert George Ramsay
May 25, 2018·Journal of the Anus, Rectum and Colon·Emiko TakeshitaYoshihisa Saida
May 25, 2018·Journal of the Anus, Rectum and Colon·Hideyuki IshidaUNKNOWN Japanese Society for Cancer of the Colon and Rectum
Jun 30, 2021·International Journal of Clinical Oncology·Naohiro TomitaUNKNOWN Japanese Society for Cancer of the Colon, Rectum

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