Abstract
This manuscript describes our technique for a minimally invasive ileoanal J- pouch procedure utilizing hand-assisted laparoscopy. We detail several important maneuvers that may be helpful to the surgeon faced with the challenge of a difficult laparoscopic pouch.
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Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. British Medical Journal 1978;2:85–88.
Heald RJ, Allen DR. Stapled ileo-anal anastomosis: a technique to avoid mucosal proctectomy in the ileal pouch operation. Br J Surg 1986;73(7):571–572.
Choen S, Tsunoda A, Nicholls RJ. Prospective randomized trial comparing anal function after hand sewn ileoanal anastomosis with mucosectomy versus stapled ileoanal anastomosis without mucosectomy in restorative proctocolectomy. Br J Surg 1991;78(4):430–434.
Tekkis PP, Fazio VW, Lavery IC et al. Evaluation of the learning curve in ileal pouch-anal anastomosis surgery. Ann Surg 2005;241(2):262–268.
Raval MJ, Schnitzler M, O’Connor BI, Cohen Z, McLeod RS. Improved outcome due to increased experience and individualized management of leaks after ileal pouch-anal anastomosis. Ann Surg 2007;246(5):763–770.
Hahnloser D, Pemberton JH, Wolff BG, Larson DR, Crownhart BS, Dozois RR. Results at up to 20 years after ileal pouch-anal anastomosis for chronic ulcerative colitis. Br J Surg 2007;94(3):333–340.
Michelassi F, Lee J, Rubin M et al. Long-term functional results after ileal pouch anal restorative proctocolectomy for ulcerative colitis: a prospective observational study. Ann Surg 2003;238(3):433–441. discussion 442–435.
Gawad KA, Wenske S, von Schrenck T, Izbicki JR. Ileoanal-pouch reconstruction does not impair sphincter function or quality of life. Hepatogastroenterology 2007;54(77):1477–1482.
Tan JJ, Tjandra JJ. Laparoscopic surgery for ulcerative colitis—a meta-analysis. Colorectal Dis 2006;8(8):626–636.
Reese GE, Lovegrove RE, Tilney HS et al. The effect of Crohn’s disease on outcomes after restorative proctocolectomy. Dis Colon Rectum 2007;50(2):239–250.
Goes RN, Nguyen P, Huang D, Beart RW Jr. Lengthening of the mesentery using the marginal vascular arcade of the right colon as the blood supply to the ileal pouch. Dis Colon Rectum 1995;38(8):893–895.
Golligher JC. Eversion technique for distal mucosal proctectomy in ulcerative colitis: a preliminary report. Br J Surg 1983;71(1):26–28.
Tjandra JJ, Fazio VW, Milsom JW, Lavery IC, Oakley JR, Fabre JM. Omission of temporary diversion in restorative proctocolectomy—is it safe? Dis Colon Rectum 1993;36(11):1007–1014.
Galandiuk S, Wolff BG, Dozois RR, Beart RW Jr. Ileal pouch-anal anastomosis without ileostomy. Dis Colon Rectum 1991;34(10):870–873.
Tulchinsky H, Hawley PR, Nicholls J. Long-term failure after restorative proctocolectomy for ulcerative colitis. Ann Surg 2003;238(2):229–234.
Ording Olsen K, Juul S, Berndtsson I, Oresland T, Laurberg S. Ulcerative colitis: female fecundity before diagnosis, during disease, and after surgery compared with a population sample. Gastroenterology 2002;122(1):15–19.
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We would like to thank our medical illustrator, Peggy Firth, for her beautiful drawings.
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Bordeianou, L., Hodin, R. Total Proctocolectomy with Ileoanal J-Pouch Reconstruction Utilizing the Hand-Assisted Laparoscopic Approach. J Gastrointest Surg 13, 2314–2320 (2009). https://doi.org/10.1007/s11605-009-0952-1
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DOI: https://doi.org/10.1007/s11605-009-0952-1