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Transanal Proctectomy and Ileoanal Pouch Procedure (ta-J Pouch)

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Abstract

Akin to other minimally invasive surgical colorectal procedures, laparoscopic ileoanal pouch surgery has gained popularity with significant short-term benefits encompassing postoperative recovery, less pain and reduced hospital stay. Long-term favorable effects on the risk of adhesive small bowel, abdominal wall hernia and female fecundability are yet other potential advantages of the laparoscopic approach. Furthermore, improved body image and cosmesis after a laparoscopic pouch procedure should not be underestimated in this frequently young population [1]. Interestingly, pelvic sepsis, including anastomotic leak and ultimate pouch failure, remain equal between laparoscopic and open ileoanal surgery [2].

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References

  1. Polle SW, Dunker MS, Slors JF, Sprangers MA, Cuesta MA, Gouma DJ, Bemelman WA. Body image, cosmesis, quality of life, and functional outcome of hand-assisted laparoscopic versus open restorative proctocolectomy: long-term results of a randomized trial. Surg Endosc. 2007;21(8):1301–7.

    Article  CAS  Google Scholar 

  2. Singh P, Bhangu A, Nicholls RJ, Tekkis P. A systematic review and meta-analysis of laparoscopic vs open restorative proctocolectomy. Color Dis. 2013;15(7):e340–51.

    Article  CAS  Google Scholar 

  3. Maartense S, Dunker MS, Slors JF, Cuesta MA, Gouma DJ, van Deventer SJ, van Bodegraven AA, Bemelman WA. Hand-assisted laparoscopic versus open restorative proctocolectomy with ileal pouch anal anastomosis: a randomized trial. Ann Surg. 2004;240(6):984–91.

    Article  Google Scholar 

  4. Baek SJ, Dozois EJ, Mathis KL, Lightner AL, Boostrom SY, Cima RR, Pemberton JH, Larson DW. Safety, feasibility, and short-term outcomes in 588 patients undergoing minimally invasive ileal pouch-anal anastomosis: a single-institution experience. Tech Coloproctol. 2016;20(6):369–74.

    Article  Google Scholar 

  5. Brannigan AE, De Buck S, Suetens P, Penninckx F, D’Hoore A. Intracorporeal rectal stapling following laparoscopic total mesorectal excision: overcoming a challenge. Surg Endosc. 2006;20(6):952–5.

    Article  CAS  Google Scholar 

  6. de Buck van Overstraeten A, Wolthuis AM, D’Hoore A. Transanal completion proctectomy after total colectomy and ileal pouch-anal anastomosis for ulcerative colitis: a modified single stapled technique. Color Dis. 2016;18(4):O141–4.

    Article  Google Scholar 

  7. Leo CA, Samaranayake S, Perry-Woodford ZL, Vitone L, Faiz O, Hodgkinson JD, Shaikh I, Warusavitarne J. Initial experience of restorative proctocolectomy for ulcerative colitis by transanal total mesorectal rectal excision and single-incision abdominal laparoscopic surgery. Color Dis. 2016;18(12):1162–6.

    Article  CAS  Google Scholar 

  8. Levic Souzani K, Nielsen CB, Bulut O. Transanal completion proctectomy with close rectal dissection and ileal pouch-anal anastomosis for ulcerative colitis. Asian J Endosc Surg. 2018; https://doi.org/10.1111/ases.12646.

  9. Spinelli A, Cantore F, Kotze PG, David G, Sacchi M, Carvello M. Fluorescence angiography during transanal trans-stomal proctectomy and ileal pouch anal anastomosis: a video vignette. Color Dis. 2017; https://doi.org/10.1111/codi.13992.

    Article  Google Scholar 

  10. de Buck van Overstraeten A, Mark-Christensen A, Wasmann KA, Bastiaenen VP, Buskens CJ, Wolthuis AM, Vanbrabant K, D'hoore A, Bemelman WA, Tottrup A, Tanis PJ. Transanal versus transabdominal minimally invasive (completion) proctectomy with ileal pouch-anal anastomosis in ulcerative colitis: a comparative study. Ann Surg. 2017;266(5):878–83.

    Article  Google Scholar 

  11. Slankamenac K, Graf R, Barkun J, Puhan MA, Clavien PA. The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg. 2013;258(1):1–7.

    Article  Google Scholar 

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D’Hoore, A. (2019). Transanal Proctectomy and Ileoanal Pouch Procedure (ta-J Pouch). In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_36

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  • DOI: https://doi.org/10.1007/978-3-030-16755-4_36

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

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