Laparoscopic Proctocolectomy with Ileal Pouch to Anal Anastomosis (IPAA)

  • Peter W. Marcello


Laparoscopic proctocolectomy with ileoanal pouch construction is the most extensive laparoscopic colorectal procedure to perform. However, if broken into its separate components, right and transverse colon mobilization, left colon mobilization, proctectomy, and ileoanal pouch construction, each component is feasible once adequate laparoscopic experience has been achieved with segmental laparoscopic colectomy. The procedure provides significant advantages over a conventional approach for the patient requiring surgery. With an experienced team, the operation can be performed safely and in a reasonable operative time, usually within 5 hours. With the expansion of laparoscopic colectomy, laparoscopic proctocolectomy with ileoanal pouch construction will likely replace the conventional approach in the majority of cases.


Inferior Mesenteric Artery Transverse Mesocolon Ileoanal Pouch Anterior Rectus Sheath Middle Colic Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Rivadeneira DE, Marcello PW, Roberts PL, et al. Benefits of hand-assisted laparoscopic restorative proctocolectomy: a comparative study. Dis Colon Rectum 2004;47:1371–1376.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Peter W. Marcello
    • 1
  1. 1.Department of Colon and Rectal SurgeryLahey ClinicBurlingtonUSA

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