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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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| Published in: | Irish journal of medical science 2010-06, Vol.179 (2), p.197-200 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c343t-ed45354b4ff9e39b08ec729bc8315185cfb00161630790bd84e63dd3e6db71553 |
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| cites | cdi_FETCH-LOGICAL-c343t-ed45354b4ff9e39b08ec729bc8315185cfb00161630790bd84e63dd3e6db71553 |
| container_end_page | 200 |
| container_issue | 2 |
| container_start_page | 197 |
| container_title | Irish journal of medical science |
| container_volume | 179 |
| creator | Kelly, J. Condon, E. T. Redmond, H. P. Kirwan, W. O. |
| description | 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. |
| doi_str_mv | 10.1007/s11845-009-0399-0 |
| format | article |
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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.</description><identifier>ISSN: 0021-1265</identifier><identifier>EISSN: 1863-4362</identifier><identifier>DOI: 10.1007/s11845-009-0399-0</identifier><identifier>PMID: 19639363</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>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</subject><ispartof>Irish journal of medical science, 2010-06, Vol.179 (2), p.197-200</ispartof><rights>Royal Academy of Medicine in Ireland 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c343t-ed45354b4ff9e39b08ec729bc8315185cfb00161630790bd84e63dd3e6db71553</citedby><cites>FETCH-LOGICAL-c343t-ed45354b4ff9e39b08ec729bc8315185cfb00161630790bd84e63dd3e6db71553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19639363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kelly, J.</creatorcontrib><creatorcontrib>Condon, E. T.</creatorcontrib><creatorcontrib>Redmond, H. P.</creatorcontrib><creatorcontrib>Kirwan, W. O.</creatorcontrib><title>The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience</title><title>Irish journal of medical science</title><addtitle>Ir J Med Sci</addtitle><addtitle>Ir J Med Sci</addtitle><description>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.</description><subject>Adenomatous Polyposis Coli - surgery</subject><subject>Anal Canal - surgery</subject><subject>Anastomosis, Surgical</subject><subject>Case-Control Studies</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Colonic Pouches</subject><subject>Confidence Intervals</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Internal Medicine</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Proctocolectomy, Restorative</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0021-1265</issn><issn>1863-4362</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp9UcFO3DAUtBAVLFs-gAvyjVOoHSdOwg0haCut1AucLcd5YY2SOPg5CL6iv8xb7UrcuIyf7ZmRPcPYhRTXUojqF0pZF2UmRJMJ1RAcsZWstcoKpfNjthIil5nMdXnKzhBfBJGULk7YqWz0blQr9v9xC7yFCXqfkIeeWz7Y2caALszecTvPMVi35X7ifgA78DkstLUTjQSYwhjQI-9DHG3yYbohC_TT8wCkweTTsjsldoREtjO45N-AO4uQkcJtoePwPkP0MDn4yX70dkA4P6xr9vRw_3j3J9v8-_337naTOVWolEFXlKos2qLvG1BNK2pwVd60rlaylHXp-lYIqaVWompE29UFaNV1CnTXVrIs1Zpd7X3pe68LYDKjRwfDYCcIC5pKqVyLnHJaM7lnOno9RujNHP1o44eRwuxqMPsaDNVgdjUQrNnlwX1pR-i-FIfciZDvCUhX0zNE8xKWSCnhN66fCZCV4w</recordid><startdate>20100601</startdate><enddate>20100601</enddate><creator>Kelly, J.</creator><creator>Condon, E. T.</creator><creator>Redmond, H. P.</creator><creator>Kirwan, W. O.</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20100601</creationdate><title>The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience</title><author>Kelly, J. ; Condon, E. T. ; Redmond, H. P. ; Kirwan, W. O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c343t-ed45354b4ff9e39b08ec729bc8315185cfb00161630790bd84e63dd3e6db71553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adenomatous Polyposis Coli - surgery</topic><topic>Anal Canal - surgery</topic><topic>Anastomosis, Surgical</topic><topic>Case-Control Studies</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Colonic Pouches</topic><topic>Confidence Intervals</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Internal Medicine</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Proctocolectomy, Restorative</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kelly, J.</creatorcontrib><creatorcontrib>Condon, E. T.</creatorcontrib><creatorcontrib>Redmond, H. P.</creatorcontrib><creatorcontrib>Kirwan, W. O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Irish journal of medical science</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kelly, J.</au><au>Condon, E. T.</au><au>Redmond, H. P.</au><au>Kirwan, W. O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience</atitle><jtitle>Irish journal of medical science</jtitle><stitle>Ir J Med Sci</stitle><addtitle>Ir J Med Sci</addtitle><date>2010-06-01</date><risdate>2010</risdate><volume>179</volume><issue>2</issue><spage>197</spage><epage>200</epage><pages>197-200</pages><issn>0021-1265</issn><eissn>1863-4362</eissn><abstract>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.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>19639363</pmid><doi>10.1007/s11845-009-0399-0</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Irish journal of medical science, 2010-06, Vol.179 (2), p.197-200 |
| issn | 0021-1265 1863-4362 |
| language | eng |
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| source | Springer Link |
| 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 |
| title | The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience |
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