Abstract
This chapter describes the detailed steps for a proctocolectomy, which are the surgical treatment for treatment-refractory colitis (ulcerative colitis, Crohn colitis), polyposis coli (FAP, MAP), and other hereditary or multicentric advanced neoplasias or cancers. The complex surgery requires expertise as it entails the removal of the entire colon and rectum, followed either by restoration of continence with creation of an ileoanal pouch-anal anastomosis (IPAA, restorative proctocolectomy) or creation of an ileostomy. The decision about continence restoration, timing, staging (single, two-, or three-stage), and the approach (open versus minimally invasive) may vary depending on the disease and treatment specifics. This chapter covers the indications, preoperative preparation, pitfalls and danger points, postoperative care, and complications. Details of operative strategy and operative technique are also given.
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Further Reading
American Medical Association. Current procedural terminology: CPT ®. Professional ed. Chicago: American Medical Association; 2022. https://www.ama-assn.org/practice-management/cpt.
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Cologne, K.G., Senagore, A.J., Kaiser, A.M. (2022). Proctocolectomy with Ileal Pouch-Anal Anastomosis (IPAA) or End Ileostomy (Open, Laparoscopic). In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_63
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DOI: https://doi.org/10.1007/978-3-030-81415-1_63
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