Laparoscopic Proctocolectomy and Ileoanal J Pouch Anastomosis

  • Cherry E. Koh
  • Michael J. Solomon
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


The ileoanal pouch procedure is a surgical technique that restores gastrointestinal continuity after surgical removal of the colon and rectum. The most common surgical indications that require the removal of the entire colon and rectum are ulcerative colitis and familial adenomatous polyposis. Much less commonly, it may also be performed for patients with multiple synchronous or metachronous colorectal cancers or functional disorders of the bowel (Fazio et al., Ann Surg 230:575, 1999).


Laparoscopy Proctocolectomy Pouch-anal anastomosis Ileoanal J pouch Proctectomy 


  1. 1.
    Fazio V, O’Riordain MG, Lavery IC, Church JM, Lau P, Strong SA, Hull T. Long-term functional outcome and quality of life after stapled restorative proctocolectomy. Ann Surg. 1999;230:575.CrossRefGoogle Scholar
  2. 2.
    Kuruvilla K, Osler T, Hyman N. A comparison of the quality of life of ulcerative colitis patients after IPAA vs ileostomy. Dis Colon Rectum. 2012;55:1131–7.CrossRefGoogle Scholar
  3. 3.
    Fazio V, Tekkis PP, Remzi F, Lavery IC, Manilich E, Connor J, et al. Quantification of risk for pouch failure after ileal pouch anal anastomosis surgery. Ann Surg. 2003;238:605–14.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Kiely J, Fazio VW, Remzi FH, Shen B, Kiran RP, et al. Pelvic sepsis after IPAA adversely affects function of the pouch and quality of life. Dis Colon Rectum. 2012;55(4):387–92.CrossRefGoogle Scholar
  5. 5.
    Lindsey I, George BD, Kettlewell MG, Mortensen NJ. Impotence after mesorectal and close rectal dissection for inflammatory bowel disease. Dis Colon Rectum. 2001;44:831–5.CrossRefGoogle Scholar
  6. 6.
    Kirat H, Remzi F. Technical aspects of ileoanal pouch surgery in patients with ulcerative colitis. Clin Colon Rectal Surg. 2010;23:239–47.CrossRefGoogle Scholar
  7. 7.
    Singh P, Bhangu A, Nicholls RJ, Tekkis P. A systematic review and meta-analysis of laparoscopic vs open restorative proctocolectomy. Color Dis. 2013;15:340–51.CrossRefGoogle Scholar
  8. 8.
    White I, Jenkins JT, Coomber R, Clark SK, Phillips RK, Kennedy RH. Outcomes of laparoscopic and open restorative proctocolectomy. Br J Surg. 2014;101:1160–5.CrossRefGoogle Scholar
  9. 9.
    Ahmed Ali U, Keus F, Heikens JT, Bemelman WA, Berdah SV, Gooszen HG, van Laarhoven CJ. Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev. 2009;(1):CD006267.Google Scholar
  10. 10.
    Benlice C, Stocchi L, Costedio M, Gorgun E, Hull T, Kessler H, Remzi FH. Laparoscopic IPAA is not associated with decreased rates of incisional hernia and small-bowel obstruction when compared with open technique: long-term follow-up of a case-matched study. Dis Colon Rectum. 2015;58:314–20.CrossRefGoogle Scholar
  11. 11.
    Dunker MS, Bemelman WA, Slors JF, van Duijvendijk P, Gouma DJ. Functional outcome, quality of life, body image, and cosmesis in patients after laparoscopic-assisted and conventional restorative proctocolectomy: a comparative study. Dis Colon Rectum. 2001;44:1800–7.CrossRefGoogle Scholar
  12. 12.
    Bartels S, DʼHoore A, Cuesta MA, Bensdorp AJ, Lucas C, Bemelman WA. Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study. Ann Surg. 2012;256:1045–8.CrossRefGoogle Scholar
  13. 13.
    Beyer-Berjot L, Maggiori L, Birnbaum D, Lefevre JH, Berdah S, Panis Y. A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study. Ann Surg. 2013;258:275–82.CrossRefGoogle Scholar
  14. 14.
    Weston-Petrides G, Lovegrove RE, Tilney HS, Heriot AG, Nicholls RJ, Mortensen NJ, et al. Comparison of outcomes after restorative proctocolectomy with or without defunctioning ileostomy. Arch Surg. 2008;143:406–12.CrossRefGoogle Scholar
  15. 15.
    Oresland T, Fasth S, Nordgren S, Akervall S, Hultén L. Pouch size: the important functional determinant after restorative proctocolectomy. Br J Surg. 1990;77:265–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Cherry E. Koh
    • 1
  • Michael J. Solomon
    • 2
  1. 1.Royal Prince Alfred HospitalSydneyAustralia
  2. 2.Department of Colorectal SurgeryUniversity of SydneySydneyAustralia

Personalised recommendations