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The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience

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Abstract

Aims

A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design.

Methods

Ten consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005.

Results

Laparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group.

Conclusions

Patients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.

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Conflict of interest statement

We, the authors, have no financial association with this manuscript nor any conflict of interest. The material has not been submitted for peer review to any other journal. We have all seen and approved the manuscript and are indeed fully conversant with its contents.

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Authors and Affiliations

  1. Department of Colorectal Surgery, Cork University Hospital, Wilton, Cork, Ireland

    J. Kelly, E. T. Condon, H. P. Redmond & W. O. Kirwan

Authors
  1. J. Kelly
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  2. E. T. Condon
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  3. H. P. Redmond
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  4. W. O. Kirwan
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Corresponding author

Correspondence to J. Kelly.

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Kelly, J., Condon, E.T., Redmond, H.P. et al. The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience. Ir J Med Sci 179, 197–200 (2010). https://doi.org/10.1007/s11845-009-0399-0

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  • DOI: https://doi.org/10.1007/s11845-009-0399-0

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