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Hosseini S V, Bananzadeh A M, Rezaianzadeh A, Ghahramani L. Laparoscopic Restorative Proctocolectomy Without Diverting Loop
Ileostomy in Patients With Familial Adenomatous Polyposis. ABS 2012; 1 (1)
URL: http://annbsurg.iums.ac.ir/article-1-239-en.html
URL: http://annbsurg.iums.ac.ir/article-1-239-en.html
1- 1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran 2 Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
2- 1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran3 Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, IR Iran
3- 1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
2- 1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran3 Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, IR Iran
3- 1 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, IR Iran
Abstract: (645 Views)
Background: Familial adenomatous polyposis (FAP) is a well-known entity for specialist
and it has near 100% chance of malignant changes if does not managed surgically. In order
to reduce the disadvantages of laparatomy and diverting ileostomy we present our
results of laparoscopic total proctocolectomy without diverting ileostomy.
Objectives: The aim of this study was to present the results of laparoscopic total proctocolectomy
and J pouch ileoanal anastomosis without diverting ileostomy in managing
patients with familial adenomatous polyposis (FAP).
Patients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent
laparoscopic restorative proctocolectomy without ileostomy were retrospectively
evaluated in this study. Early complications and demographic data were considered.
Results: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The
most common presenting symptom was rectal bleeding. Two weeks after the operation,
no leakage was detected at the site of anastomosis, but some patients experienced temporary
diarrhea and fecal incontinence.
Conclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without
diverting loop ileostomy seems to be a safe procedure in the management of FAP.
and it has near 100% chance of malignant changes if does not managed surgically. In order
to reduce the disadvantages of laparatomy and diverting ileostomy we present our
results of laparoscopic total proctocolectomy without diverting ileostomy.
Objectives: The aim of this study was to present the results of laparoscopic total proctocolectomy
and J pouch ileoanal anastomosis without diverting ileostomy in managing
patients with familial adenomatous polyposis (FAP).
Patients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent
laparoscopic restorative proctocolectomy without ileostomy were retrospectively
evaluated in this study. Early complications and demographic data were considered.
Results: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The
most common presenting symptom was rectal bleeding. Two weeks after the operation,
no leakage was detected at the site of anastomosis, but some patients experienced temporary
diarrhea and fecal incontinence.
Conclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without
diverting loop ileostomy seems to be a safe procedure in the management of FAP.
Type of Study: Original |
Subject:
MIS
Received: 2020/12/21 | Accepted: 2012/08/15 | ePublished: 2012/08/15
Received: 2020/12/21 | Accepted: 2012/08/15 | ePublished: 2012/08/15
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