INTRODUCTION: This prospective study aimed to analyze the functional outcome after a two-stage laparoscopic total proctocolectomy with ileal pouch-anal anastomosis. MATERIALS AND METHODS: From May 1999 to May 2008, 68 consecutive two-stage laparoscopic total proctocolectomies with ileal pouch-anal anastomosis were performed (ulcerative colitis: n = 61; familial adenomatous polyposis: n = 7). A covering ileostomy was used in all patients. Forty patients whose covering ileostomy had been closed for a minimum of 2 years were included in this series. RESULTS: Conversion to laparotomy was necessary in 4 of 40 patients (10%). Thirteen postoperative complications occurred in 13 of 40 patients (30%). At a median follow-up of 38 months (range, 26-90), the median number of bowel movements was 4 per 24 hours (range, 2-10); 15 patients (38%) had no nighttime bowel movements. None of the patients had fecal incontinence or urgency. Thirty-four of the 40 patients (85%) experienced no soiling. Seven patients (18%) took regular antidiarrheal medication. All patients were able to resume all activities practiced prior to illness onset, and 36 of 40 (90%) were satisfied with their overall quality of life (very good or good). CONCLUSION: Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis provides satisfying mid-term functional outcome.
INTRODUCTION: This prospective study aimed to analyze the functional outcome after a two-stage laparoscopic total proctocolectomy with ileal pouch-anal anastomosis. MATERIALS AND METHODS: From May 1999 to May 2008, 68 consecutive two-stage laparoscopic total proctocolectomies with ileal pouch-anal anastomosis were performed (ulcerative colitis: n = 61; familial adenomatous polyposis: n = 7). A covering ileostomy was used in all patients. Forty patients whose covering ileostomy had been closed for a minimum of 2 years were included in this series. RESULTS: Conversion to laparotomy was necessary in 4 of 40 patients (10%). Thirteen postoperative complications occurred in 13 of 40 patients (30%). At a median follow-up of 38 months (range, 26-90), the median number of bowel movements was 4 per 24 hours (range, 2-10); 15 patients (38%) had no nighttime bowel movements. None of the patients had fecal incontinence or urgency. Thirty-four of the 40 patients (85%) experienced no soiling. Seven patients (18%) took regular antidiarrheal medication. All patients were able to resume all activities practiced prior to illness onset, and 36 of 40 (90%) were satisfied with their overall quality of life (very good or good). CONCLUSION: Laparoscopic total proctocolectomy with ileal pouch-anal anastomosis provides satisfying mid-term functional outcome.
Authors: Olga A Lavryk; Luca Stocchi; Jean H Ashburn; Meagan Costedio; Emre Gorgun; Tracy L Hull; Hermann Kessler; Conor P Delaney Journal: World J Surg Date: 2018-11 Impact factor: 3.352
Authors: Serin Schiessling; Christine Leowardi; Peter Kienle; Dalibor Antolovic; Phillip Knebel; Thomas Bruckner; Martina Kadmon; Christoph M Seiler; Markus W Büchler; Markus K Diener; Alexis Ulrich Journal: Langenbecks Arch Surg Date: 2013-05-19 Impact factor: 3.445
Authors: S-J Baek; E J Dozois; K L Mathis; A L Lightner; S Y Boostrom; R R Cima; J H Pemberton; D W Larson Journal: Tech Coloproctol Date: 2016-04-27 Impact factor: 3.781