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dc.contributor.authorKelly, J
dc.contributor.authorCondon, E T
dc.contributor.authorRedmond, H P
dc.contributor.authorKirwan, W O
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
html.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.
html.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.
html.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.
html.description.abstractPatients undergoing laparoscopic IPAA can expect faster postoperative gastrointestinal recovery, reduced blood loss, reduced opioid requirements and improved cosmesis.


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