Laparoscopic Restorative Proctocolectomy Without Diverting Loop Ileostomy in Patients With Familial Adenomatous Polyposis

AUTHORS

Ali Mohammad Mohammad Bananzadeh 2 , Abbas Rezaianzadeh 3 , Leila Ghahramani 1 , Seyed Vahid Vahid Hosseini 2 , *

2 Laparoscopy Research Center, Shiraz University of Medical Sciences, [email protected], Iran

3 Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Iran

1 Colorectal Research Center, Shiraz University of Medical Sciences, Iran

How to Cite: Bananzadeh A M, Rezaianzadeh A , Ghahramani L , Hosseini S V . Laparoscopic Restorative Proctocolectomy Without Diverting Loop Ileostomy in Patients With Familial Adenomatous Polyposis , J Minim Invasive Surg Sci. Online ahead of Print ; 1(1):21-3. doi: 10.5812/jmiss.1843.

ARTICLE INFORMATION

Journal of Minimally Invasive Surgical Sciences: 1 (1); 21-3
Published Online: August 29, 2012
Article Type: Test Research
Received: July 6, 2011
Accepted: January 9, 2012
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Abstract

Background: Familial adenomatous polyposis (FAP) is a well-known entity for specialist\r\nand it has near 100% chance of malignant changes if does not managed surgically. In order\r\nto reduce the disadvantages of laparatomy and diverting ileostomy we present our\r\nresults of laparoscopic total proctocolectomy without diverting ileostomy.\r\nObjectives: The aim of this study was to present the results of laparoscopic total proctocolectomy\r\nand J pouch ileoanal anastomosis without diverting ileostomy in managing\r\npatients with familial adenomatous polyposis (FAP).\r\nPatients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent\r\nlaparoscopic restorative proctocolectomy without ileostomy were retrospectively\r\nevaluated in this study. Early complications and demographic data were considered.\r\nResults: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The\r\nmost common presenting symptom was rectal bleeding. Two weeks after the operation,\r\nno leakage was detected at the site of anastomosis, but some patients experienced temporary\r\ndiarrhea and fecal incontinence.\r\nConclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without\r\ndiverting loop ileostomy seems to be a safe procedure in the management of FAP.

Keywords

laparoscopy restorative proctocolectomy loop ileostomy

© 2012, Journal of Minimally Invasive Surgical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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