Transanal completion proctectomy with close rectal dissection and ileal pouch-anal anastomosis for ulcerative colitis
| Autor: | Orhan Bulut, Katarina Levic Souzani, Claus Nielsen |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Colorectal cancer Operative Time Rectum Anastomosis Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Pelvis Transanal Endoscopic Surgery Proctectomy business.industry Dissection Proctocolectomy Restorative General Medicine Middle Aged medicine.disease Ulcerative colitis Surgery Ileal Pouch Anal Anastomosis medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Operative time Feasibility Studies 030211 gastroenterology & hepatology Colitis Ulcerative Female business |
| Zdroj: | Asian journal of endoscopic surgery. 12(3) |
| ISSN: | 1758-5910 |
| Popis: | Introduction Laparoscopic dissection in the pelvis is still a challenge. A transanal approach to rectal dissection allows better visualization during the dissection of the rectum and the creation of an anastomosis. Although initially used for patients with rectal cancer, the transanal approach may also have benefits in the surgical treatment of ulcerative colitis (UC). The aim of this study was to describe our initial experience with transanal completion proctectomy and ileal pouch-anal anastomosis for UC. Methods This study included all consecutive patients who underwent transanal completion proctectomy and ileal pouch-anal anastomosis for UC between September 2017 and February 2018. Results Eleven patients were included in the study; they had a median age of 30 years (range, 13-51 years). The median operative time was 285 min (range, 190-375 min). There were no intraoperative complications or conversions to open surgery. Postoperative complications occurred in only one patient (anastomotic leak), and the median length of hospital stay was 7 days (range, 5-37 days). Conclusion Our initial experience with transanal completion proctectomy and ileal pouch-anal anastomosis shows promising results, demonstrating the feasibility of the transanal approach in patients with UC. |
| Databáze: | OpenAIRE |
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