Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy

Objectives: the aim of this retrospective study was to evaluate early experience with laparoscopic restorative proctocolectomy by analyzing the perioperative results of surgical treatment. Patients and methods: seven major surgeries were performed in six patients with familial adenomatous polyposis...

Descripción completa

Detalles Bibliográficos
Autores: Arteaga González, Iván Jesús, Delgado Plasencia, López-Tomassetti Fernández, Martín Malagón, Antonio Isaac, Díaz Luis, Hermogenes, Carrillo Pallarés, Ángel
Tipo de recurso: artículo
Fecha de publicación:2006
País:España
Institución:Universidad de La Laguna (ULL)
Repositorio:RIULL. Repositorio Institucional de la Universidad de La Laguna
OAI Identifier:oai:riull.ull.es:915/41048
Acceso en línea:http://riull.ull.es/xmlui/handle/915/41048
Access Level:acceso abierto
Palabra clave:Restorative proctocolectomy
Ileoanal pouch
Laparoscopy
Surgery
id ES_80296331f84ad962ee751840d3fbb82f
oai_identifier_str oai:riull.ull.es:915/41048
network_acronym_str ES
network_name_str España
repository_id_str
spelling Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopyArteaga González, Iván JesúsDelgado PlasenciaLópez-Tomassetti FernándezMartín Malagón, Antonio IsaacDíaz Luis, HermogenesCarrillo Pallarés, ÁngelRestorative proctocolectomyIleoanal pouchLaparoscopySurgeryObjectives: the aim of this retrospective study was to evaluate early experience with laparoscopic restorative proctocolectomy by analyzing the perioperative results of surgical treatment. Patients and methods: seven major surgeries were performed in six patients with familial adenomatous polyposis and ulcerative colitis. All procedures were performed under laparoscopy at our third-level hospital from June 2003 to October 2004. Results: mean surgical time was 287.5 ± 80.7 min, and median blood loss was 300 ± 249.0 cc. There were no conversions; return of peristalsis began at 32 ± 12.4 h; average time to first oral intake was 64.0 ± 32.8 h, and mean duration of hospital stay was 9.3 ± 1.2 days. There was one case of perineal sepsis due to ileal pouch-anal anastomotic leakage, which was successfully treated with oral intake restriction, parenteral nutrition, and intrarectal drainage. The most common postoperative complication was postoperative ileus. Conclusions: we believe that the laparoscopic approach to restorative proctocolectomy may be considerably improved in our center. Particular aspects for improvement include efforts to achieve lower operating and hospitalization times to equate our results with those reported by multicenter studies for laparoscopic colon cancer surgery. In our opinion, learning and further training opportunities should be encouraged to improve surgeon experience in the field of laparoscopy, preferably at centers specializing in restorative proctocolectomy.Cirugía202520252006info:eu-repo/semantics/articleapplication/pdfhttp://riull.ull.es/xmlui/handle/915/41048reponame:RIULL. Repositorio Institucional de la Universidad de La Lagunainstname:Universidad de La Laguna (ULL)InglésRevista Española de Enfermedades Digestivas. 2006 Jun;98(6)Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ESoai:riull.ull.es:915/410482026-06-22T13:13:57Z
dc.title.none.fl_str_mv Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
title Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
spellingShingle Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
Arteaga González, Iván Jesús
Restorative proctocolectomy
Ileoanal pouch
Laparoscopy
Surgery
title_short Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
title_full Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
title_fullStr Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
title_full_unstemmed Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
title_sort Restorative proctocolectomy with an ileoanal pouch: the role of laparoscopy
dc.creator.none.fl_str_mv Arteaga González, Iván Jesús
Delgado Plasencia
López-Tomassetti Fernández
Martín Malagón, Antonio Isaac
Díaz Luis, Hermogenes
Carrillo Pallarés, Ángel
author Arteaga González, Iván Jesús
author_facet Arteaga González, Iván Jesús
Delgado Plasencia
López-Tomassetti Fernández
Martín Malagón, Antonio Isaac
Díaz Luis, Hermogenes
Carrillo Pallarés, Ángel
author_role author
author2 Delgado Plasencia
López-Tomassetti Fernández
Martín Malagón, Antonio Isaac
Díaz Luis, Hermogenes
Carrillo Pallarés, Ángel
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Cirugía
dc.subject.none.fl_str_mv Restorative proctocolectomy
Ileoanal pouch
Laparoscopy
Surgery
topic Restorative proctocolectomy
Ileoanal pouch
Laparoscopy
Surgery
description Objectives: the aim of this retrospective study was to evaluate early experience with laparoscopic restorative proctocolectomy by analyzing the perioperative results of surgical treatment. Patients and methods: seven major surgeries were performed in six patients with familial adenomatous polyposis and ulcerative colitis. All procedures were performed under laparoscopy at our third-level hospital from June 2003 to October 2004. Results: mean surgical time was 287.5 ± 80.7 min, and median blood loss was 300 ± 249.0 cc. There were no conversions; return of peristalsis began at 32 ± 12.4 h; average time to first oral intake was 64.0 ± 32.8 h, and mean duration of hospital stay was 9.3 ± 1.2 days. There was one case of perineal sepsis due to ileal pouch-anal anastomotic leakage, which was successfully treated with oral intake restriction, parenteral nutrition, and intrarectal drainage. The most common postoperative complication was postoperative ileus. Conclusions: we believe that the laparoscopic approach to restorative proctocolectomy may be considerably improved in our center. Particular aspects for improvement include efforts to achieve lower operating and hospitalization times to equate our results with those reported by multicenter studies for laparoscopic colon cancer surgery. In our opinion, learning and further training opportunities should be encouraged to improve surgeon experience in the field of laparoscopy, preferably at centers specializing in restorative proctocolectomy.
publishDate 2006
dc.date.none.fl_str_mv 2006
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://riull.ull.es/xmlui/handle/915/41048
url http://riull.ull.es/xmlui/handle/915/41048
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Revista Española de Enfermedades Digestivas. 2006 Jun;98(6)
dc.rights.none.fl_str_mv Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)
info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ES
rights_invalid_str_mv Licencia Creative Commons (Reconocimiento-No comercial-Sin obras derivadas 4.0 Internacional)
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es_ES
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:RIULL. Repositorio Institucional de la Universidad de La Laguna
instname:Universidad de La Laguna (ULL)
instname_str Universidad de La Laguna (ULL)
reponame_str RIULL. Repositorio Institucional de la Universidad de La Laguna
collection RIULL. Repositorio Institucional de la Universidad de La Laguna
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411878020579328
score 15,811543

Similares en LA Referencia