title: Gasless laparoscopic surgery for ulcerative colitis and familial adenomatous polyposis:initial experience of 7 cases.
abstract: OBJECTIVE
  We evaluated the data on initial experience of gasless laparoscopic surgery for patients with ulcerative colitis (UC) and familial adenomatous polyposis (FAP).
  
  
  METHODS
  Seven patients (male/female = 3:4, median age 23, UC/FAP=5:2) underwent gasless laparoscopic total (procto) colectomy. Our basic surgical procedure involved (1) a 6- to 8-cm incision made at the beginning of the operation, (2) the wound pulled upward and/or laterally by retractors, and (3) conventional surgical instruments used through the wound; occasionally laparoscopic assistance and abdominal lifting were employed. The results were compared to those of 7 patients who had undergone conventional open surgery.
  
  
  RESULTS
  Oral intake started earlier (p = 0.03) and C-reactive protein level on POD 4 was lower (p = 0.03) in the gasless group than in the control group. Duration of surgery, blood loss, requirement of analgesia, and morbidity rate were not significantly different between the groups.
  
  
  CONCLUSIONS
  Our preliminary results suggest that gasless laparoscopic surgery for UC and FAP is feasible and can be an alternative method for minimally invasive surgery.
authors.affiliation: Department of Surgery, Saitama Medical Center and School, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan. ishida@zb3.so-net.ne.jp
authors.forename: H
authors.initials: H
authors.lastname: Ishida
authors.forename: D
authors.initials: D
authors.lastname: Hashimoto
authors.forename: S
authors.initials: S
authors.lastname: Inokuma
authors.forename: H
authors.initials: H
authors.lastname: Nakada
authors.forename: T
authors.initials: T
authors.lastname: Ohsawa
authors.forename: T
authors.initials: T
authors.lastname: Hoshino
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003082:Colectomy / Q000379:methods*; D003093:Colitis, Ulcerative / Q000601:surgery*; D005260:Female; D005740:Gases / Q000627:therapeutic use*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged
chemical_list: D005740:Gases