The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience.

Hdl Handle:
http://hdl.handle.net/10147/200289
Title:
The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience.
Authors:
Kelly, J; Condon, E T; Redmond, H P; Kirwan, W O
Affiliation:
Department of Colorectal Surgery, Cork University Hospital, Wilton, Cork, Ireland. justinjoshkelly@gmail.com
Citation:
The benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience. 2010, 179 (2):197-200 Ir J Med Sci
Journal:
Irish journal of medical science
Issue Date:
Jun-2010
URI:
http://hdl.handle.net/10147/200289
DOI:
10.1007/s11845-009-0399-0
PubMed ID:
19639363
Abstract:
A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design.; Ten consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005.; Laparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group.; Patients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.
Item Type:
Article
Language:
en
Description:
AIMS: A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design. METHODS: Ten consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005. RESULTS: Laparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group. CONCLUSIONS: Patients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.
MeSH:
Adenomatous Polyposis Coli; Anal Canal; Anastomosis, Surgical; Case-Control Studies; Colitis, Ulcerative; Colonic Pouches; Confidence Intervals; Female; Humans; Ileum; Laparoscopy; Length of Stay; Male; Proctocolectomy, Restorative; Retrospective Studies; Time Factors; Treatment Outcome
ISSN:
1863-4362

Full metadata record

DC FieldValue Language
dc.contributor.authorKelly, Jen
dc.contributor.authorCondon, E Ten
dc.contributor.authorRedmond, H Pen
dc.contributor.authorKirwan, W Oen
dc.date.accessioned2012-01-05T12:52:27Z-
dc.date.available2012-01-05T12:52:27Z-
dc.date.issued2010-06-
dc.identifier.citationThe benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience. 2010, 179 (2):197-200 Ir J Med Scien
dc.identifier.issn1863-4362-
dc.identifier.pmid19639363-
dc.identifier.doi10.1007/s11845-009-0399-0-
dc.identifier.urihttp://hdl.handle.net/10147/200289-
dc.descriptionAIMS: A laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design. METHODS: Ten consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005. RESULTS: Laparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group. CONCLUSIONS: Patients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.en
dc.description.abstractA laparoscopic approach to ileoanal pouch formation is novel. By using prospectively gathered data, laparoscopic and open restorative proctocolectomy procedures in mucosal ulcerative colitis (UC) and familial adenomatous polyposis (FAP) patients were compared using a case-matched design.-
dc.description.abstractTen consecutive patients have had laparoscopic ileal pouch anal anastomosis (IPAA) since April 2005. Their intraoperative findings, immediate and early postoperative outcomes are compared with ten non-selected patients who had an open IPAA pre April 2005.-
dc.description.abstractLaparoscopic IPAA group had a shorter time to ileostomy function, a reduced mean time to regular diet and a mean shorter hospital stay. Their overall opioid analgesia requirements were 50% that of the open group. There were no re-operations or readmissions in either group. Mean operative time was longer for the laparoscopic group.-
dc.description.abstractPatients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.-
dc.language.isoenen
dc.subject.meshAdenomatous Polyposis Coli-
dc.subject.meshAnal Canal-
dc.subject.meshAnastomosis, Surgical-
dc.subject.meshCase-Control Studies-
dc.subject.meshColitis, Ulcerative-
dc.subject.meshColonic Pouches-
dc.subject.meshConfidence Intervals-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIleum-
dc.subject.meshLaparoscopy-
dc.subject.meshLength of Stay-
dc.subject.meshMale-
dc.subject.meshProctocolectomy, Restorative-
dc.subject.meshRetrospective Studies-
dc.subject.meshTime Factors-
dc.subject.meshTreatment Outcome-
dc.titleThe benefits of a laparoscopic approach in ileal pouch anal anastomosis formation: a single institutional retrospective case-matched experience.en
dc.typeArticleen
dc.contributor.departmentDepartment of Colorectal Surgery, Cork University Hospital, Wilton, Cork, Ireland. justinjoshkelly@gmail.comen
dc.identifier.journalIrish journal of medical scienceen
dc.description.provinceMunster-

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