The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience

Aims A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design. Method...

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Bibliographic Details
Published in:Irish journal of medical science 2010-06, Vol.179 (2), p.197-200
Main Authors: Kelly, J., Condon, E. T., Redmond, H. P., Kirwan, W. O.
Format: Article
Language:English
Subjects:
Adenomatous Polyposis Coli - surgery
Anal Canal - surgery
Anastomosis, Surgical
Case-Control Studies
Colitis, Ulcerative - surgery
Colonic Pouches
Confidence Intervals
Family Medicine
Female
General Practice
Humans
Ileum - surgery
Internal Medicine
Laparoscopy - methods
Length of Stay
Male
Medicine
Medicine & Public Health
Original Article
Proctocolectomy, Restorative
Retrospective Studies
Time Factors
Treatment Outcome
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Summary:Aims A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design. Methods Ten consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005. Results Laparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group. Conclusions Patients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.
ISSN:0021-1265
1863-4362
DOI:10.1007/s11845-009-0399-0