Reduced-port laparoscopic restorative proctocolectomy without diverting ileostomy

Takashi Ueki, Tatsuya Manabe, Kinuko Nagayoshi, Kosuke Yanai, Taiki Moriyama, Shuji Shimizu, Masao Tanaka

研究成果: ジャーナルへの寄稿記事

2 引用 (Scopus)

抄録

INTRODUCTION: We introduced a reduced-port procedure for laparoscopic restorative proctocolectomy without diverting ileostomy for patients with familial adenomatous polyposis and ulcerative colitis.

MATERIALS AND SURGICAL TECHNIQUE: A multichannel port was inserted through a 2.5-cm umbilical incision. A 12-mm port in the right lower abdomen and a 3- or 5-mm port were also employed. A proctocolectomy was performed intracorporeally, and the entire colon and rectum were delivered through the umbilical incision. An ileal J-pouch was made extracorporeally following division of the mesenteric vessels. Ileal j-pouch-anal anastomosis was performed intracorporeally or transanally after rectal mucosectomy. A drain was inserted through the 12-mm port incision, and a transanal decompression tube was placed in the pouch. Two women and one man underwent this surgery, and their postoperative recovery was uneventful.

DISCUSSION: Laparoscopic restorative proctocolectomy without a diverting stoma by a reduced-port technique is feasible and provides excellent cosmetic outcomes in selected patients.

元の言語英語
ページ(範囲)487-490
ページ数4
ジャーナルAsian journal of endoscopic surgery
8
発行部数4
DOI
出版物ステータス出版済み - 11 1 2015

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Restorative Proctocolectomy
Colonic Pouches
Ileostomy
Umbilicus
Adenomatous Polyposis Coli
Decompression
Ulcerative Colitis
Rectum
Cosmetics
Abdomen
Colon

All Science Journal Classification (ASJC) codes

  • Medicine(all)

これを引用

Reduced-port laparoscopic restorative proctocolectomy without diverting ileostomy. / Ueki, Takashi; Manabe, Tatsuya; Nagayoshi, Kinuko; Yanai, Kosuke; Moriyama, Taiki; Shimizu, Shuji; Tanaka, Masao.

:: Asian journal of endoscopic surgery, 巻 8, 番号 4, 01.11.2015, p. 487-490.

研究成果: ジャーナルへの寄稿記事

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AU - Ueki, Takashi

AU - Manabe, Tatsuya

AU - Nagayoshi, Kinuko

AU - Yanai, Kosuke

AU - Moriyama, Taiki

AU - Shimizu, Shuji

AU - Tanaka, Masao

PY - 2015/11/1

Y1 - 2015/11/1

N2 - INTRODUCTION: We introduced a reduced-port procedure for laparoscopic restorative proctocolectomy without diverting ileostomy for patients with familial adenomatous polyposis and ulcerative colitis.MATERIALS AND SURGICAL TECHNIQUE: A multichannel port was inserted through a 2.5-cm umbilical incision. A 12-mm port in the right lower abdomen and a 3- or 5-mm port were also employed. A proctocolectomy was performed intracorporeally, and the entire colon and rectum were delivered through the umbilical incision. An ileal J-pouch was made extracorporeally following division of the mesenteric vessels. Ileal j-pouch-anal anastomosis was performed intracorporeally or transanally after rectal mucosectomy. A drain was inserted through the 12-mm port incision, and a transanal decompression tube was placed in the pouch. Two women and one man underwent this surgery, and their postoperative recovery was uneventful.DISCUSSION: Laparoscopic restorative proctocolectomy without a diverting stoma by a reduced-port technique is feasible and provides excellent cosmetic outcomes in selected patients.

AB - INTRODUCTION: We introduced a reduced-port procedure for laparoscopic restorative proctocolectomy without diverting ileostomy for patients with familial adenomatous polyposis and ulcerative colitis.MATERIALS AND SURGICAL TECHNIQUE: A multichannel port was inserted through a 2.5-cm umbilical incision. A 12-mm port in the right lower abdomen and a 3- or 5-mm port were also employed. A proctocolectomy was performed intracorporeally, and the entire colon and rectum were delivered through the umbilical incision. An ileal J-pouch was made extracorporeally following division of the mesenteric vessels. Ileal j-pouch-anal anastomosis was performed intracorporeally or transanally after rectal mucosectomy. A drain was inserted through the 12-mm port incision, and a transanal decompression tube was placed in the pouch. Two women and one man underwent this surgery, and their postoperative recovery was uneventful.DISCUSSION: Laparoscopic restorative proctocolectomy without a diverting stoma by a reduced-port technique is feasible and provides excellent cosmetic outcomes in selected patients.

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