[Laparoscopically-assisted proctocolectomy with ileoanal pouch in ulcerative colitis].
Laparoscopic assisted proctocolectomy with ileoanal pouch is a technical alternative to the conventional open procedure. The aim of this technique are better cosmetics. Mobilisation of the colon is achieved laparoscopically. Rectal resection, J-pouch creation, and pouchanal anastomosis are performed via a Pfannenstiel incision. Laparoscopic assisted proctocolectomy has been performed in five selected patients, three female and two male aged 17 to 36 years. Operative time ranged from 305 to 420 minutes. Intra- and postoperative complications were not encountered. Postoperative hospital stay ranged from 13 to 16 days. On a scale from 1 to 10 the average quality of life was graded 9 and the overall satisfaction level with the results of surgery scored 10. Function was identical to open surgery in not selected patients.
Hildebrandt
U
U
Abteilung für Allgemeine Chirurgie, Abdominal-, und Gefässchirurgie, Universität des Saarlandes, Homburg/Saar.
Lindemann
W
W
Kreissler-Haag
D
D
Feifel
G
G
Ecker
K W
KW
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000295:instrumentation; D003082:Colectomy / Q000295:instrumentation*; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020706:Laparoscopes; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D016737:Proctocolectomy, Restorative / Q000295:instrumentation*; D011788:Quality of Life
Die laparoskopisch assistierte Proktokolektomie mit ileoanalem Pouch bei Colitis ulcerosa.