Completely minimally invasive approach to restorative total proctocolectomy with j-pouch construction in children.
Restorative total proctocolectomy with J-pouch is a procedure used for children with severe ulcerative colitis or premalignant conditions like familial polyposis. The classic approach requires a laparotomy incision. Most published minimally invasive techniques still require a somewhat smaller incision to complete the procedure. We present a completely minimally invasive approach to accomplish the same goal, using a combined laparoscopic and endorectal technique and present our current clinical results with this method.
Division of Pediatric Surgery, PennState University, Hershey, PA, USA. ameier@hmc.psu.edu
Andreas H
AH
Meier
Leslie
L
Roth
Robert E
RE
Cilley
Peter W
PW
Dillon
D011125:Adenomatous Polyposis Coli / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002648:Child; D003093:Colitis, Ulcerative / Q000601:surgery*; D039021:Colonic Pouches; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D016737:Proctocolectomy, Restorative / Q000379:methods*; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome