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Surgical Endoscopy

Published in:

01-01-2009

Total laparoscopic ileal pouch-anal anastomosis: prospective series of 82 patients

Authors: Jérémie H. Lefevre, Frédéric Bretagnol, Mehdi Ouaïssi, Philippe Taleb, Arnaud Alves, Yves Panis

Published in: Surgical Endoscopy | Issue 1/2009

Abstract

Background

Ileal pouch-anal anastomosis (IPAA) is the recommended procedure for ulcerative colitis and profuse familial adenomatous polyposis. The aims of this study were to report a consecutive series of 82 unselected patients who undergone a total laparoscopic IPAA with a special focus on the postoperative morbidity and 1-year functional results.

Methods

Between 2002 and 2008, 82 consecutive patients undergoing IPAA under a total laparoscopic approach were enrolled. Patient data, surgical procedure, and 1-year functional outcome were analyzed.

Results

Among the 82 patients, 44 (54%) had a former subtotal colectomy (STC) before IPAA. No patient died postoperatively. Conversion rate was 11%. Overall morbidity was 32%. Symptomatic anastomotic fistulas were observed in nine patients (10%). Reoperation was needed in 5/82 (6%) of the patients. One-year functional results were 4.7 ± 1.9 during the day and 1 ± 1.2 during the night. Operating time decreased significantly after the first 40 laparoscopic IPAA (p = 0.0183). No difference was observed in the morbidity and functional results between patients operated for IPAA after a former colectomy or during a restorative proctocolectomy.

Conclusions

This study suggested the feasibility and safety of the total laparoscopic approach IPAA. Total laparoscopic approach could become the best approach for IPAA. Prior colectomy does not modify the result of this demanding surgical procedure.

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Title: Total laparoscopic ileal pouch-anal anastomosis: prospective series of 82 patients
Authors: Jérémie H. Lefevre
Frédéric Bretagnol
Mehdi Ouaïssi
Philippe Taleb
Arnaud Alves
Yves Panis
Publication date: 01-01-2009
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 1/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-0121-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Total laparoscopic ileal pouch-anal anastomosis: prospective series of 82 patients

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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