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Current trends in restorative proctocolectomy

Introduction of an ultrasonically activated scalpel

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Diseases of the Colon & Rectum

Abstract

PURPOSE: We evaluated the usefulness of an ultrasonically activated scalpel (Harmonic Scalpel®) for mucosal proctocolectomy and ileal J-pouch-anal anastomosis. METHODS: Seventy-four patients with ulcerative colitis (70 patients) and familial adenomatous polyposis (4 patients) underwent mucosectomy using the Harmonic Scalpel® since 1997. We compared the clinical and functional results with those of the monopolar electrocoagulator (forceps coagulation technique, 86 patients with colitis and 7 with polyposis). RESULTS: We performed graduated mucosal proctectomy by using the Harmonic Scalpel®. The operative time (Harmonic Scalpel®, 42 minutesvs. forceps coagulation technique, 85 minutes) and blood loss (Harmonic Scalpel®, 33 mlvs. forceps coagulation technique, 86.8 ml) were significantly reduced by this method. The Harmonic Scalpel® enabled restorative proctocolectomy by the synchronous approach within three hours. The functional results and complications were not significantly different between the two groups. CONCLUSION: The Harmonic Scalpel® shortened the operative time, decreased blood loss, and was useful for restorative proctocolectomy in our study.

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References

  1. Utsunomiya J, Yamamura T, Kusunoki M, Iwama T. The current technique of ileoanal anastomosis. Dig Surg 1988;5:207–14.

    Google Scholar 

  2. Kusunoki M, Shoji Y, Yanagi H,et al. Function after anoabdominal rectal resection and colonic J pouch anal anastomosis. Br J Surg 1991;78:1434–8.

    PubMed  Google Scholar 

  3. Kusunoki M, Möeslein G, Shoji Y,et al. Steroid complications in patients with ulcerative colitis. Dis Colon Rectum 1992;35:1003–9.

    PubMed  Google Scholar 

  4. Amaral JF. Ultrasonic dissection. Endosc Surg Allied Technol 1994;2:181–5.

    PubMed  Google Scholar 

  5. Shoji Y, Kusunoki M, Fujita S, Yamamura T, Utsunomiya F. Functional role of the preserved rectal cuff in ileoanal anastomosis. Surgery 1992;111:266–73.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. From the Second Department of Surgery, Hyogo College of Medicine, Hyogo, Japan

    Masato Kusunoki M.D., Yasutsugu Shoji M.D., Hidenori Yanagi M.D., Hiroki Ikeuchi M.D., Masafumi Noda M.D. & Takehira Yamamura M.D.

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  1. Masato Kusunoki M.D.
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  2. Yasutsugu Shoji M.D.
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  3. Hidenori Yanagi M.D.
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  4. Hiroki Ikeuchi M.D.
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  5. Masafumi Noda M.D.
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  6. Takehira Yamamura M.D.
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Kusunoki, M., Shoji, Y., Yanagi, H. et al. Current trends in restorative proctocolectomy. Dis Colon Rectum 42, 1349–1352 (1999). https://doi.org/10.1007/BF02234229

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  • DOI: https://doi.org/10.1007/BF02234229

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