Skip to main content

Role of Minimally Invasive Surgery in Pouch Surgery

  • Chapter
  • First Online:
Mastery of IBD Surgery

Abstract

Ileal pouch-anal anastomosis (IPAA) has undergone a progression of techniques over the last several decades. It was first described in 1978 by Sir Alan Parks in the British Medical Journal [1]. Although other types of pouches have been employed, such as the S-pouch and W-pouch, the J-pouch remains the most common pouch technique employed currently [2]. The creation of the pouch is commonly performed in 2 or 3 stages, although single stage creation has been described [3]. These stages typically include total abdominal colectomy (or subtotal colectomy), followed by restorative proctocolectomy with pouch creation with or without a diverting loop ileostomy, and then closure of the diverting loop ileostomy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. BMJ. 1978;ii:85–8.

    Article  Google Scholar 

  2. Cohen Z, McLeod RS, Stephen W, Stern HS, O’Connor B, Reznick R. Continuing evolution of the pelvic pouch procedure. Ann Surg. 1992;216:506–111.

    Article  CAS  Google Scholar 

  3. Ky AJ, Sonoda T, Milsom JW. One-stage laparoscopic restorative proctocolectomy: an alternative to the conventional approach? Dis Colon Rectum. 2002;45:207–10.

    Article  Google Scholar 

  4. Bohm B, Schwenk W. Results of prospective randomized trials of laparoscopic versus conventional resection for colorectal cancer [abstract]. Int J Color Dis. 1998;13:179.

    Google Scholar 

  5. Stage JG, Schulze S, Moiler P, et al. Prospective randomized study of laparoscopic versus open colonic resection for adenocarcinoma. Br J Surg. 1997;84:391–6.

    Article  CAS  Google Scholar 

  6. Milsom JW, Bohm B, Hammerhofer KA, Fazio V, Steiger E, Elson P. A prospective, randomized trial comparing laparoscopic versus conventional techniques in colorectal cancer surgery: a preliminary report. J Am Coil Surg. 1998;187:46–54.

    Article  CAS  Google Scholar 

  7. Wexner SD, Johansen OB, Nogueras JJ, Jagelman DG. Laparoscopic total abdominal colectomy: a prospective trial. Dis Colon Rectum. 1992;35:651–5.

    Article  CAS  Google Scholar 

  8. Reissman P, Salky BA, Pfeifer J, Edye M, Jagelman DG, Wexner SD. Laparoscopic surgery in the management of inflammatory bowel disease. Am J Surg. 1996;171:47–51.

    Article  CAS  Google Scholar 

  9. Sardinha TC, Wexner SD. Laparoscopy for inflammatory bowel disease: pros and cons. World J Surg. 1998;22:370–4.

    Article  CAS  Google Scholar 

  10. Lui CD, RolandeIli R, Ashley SW, Evans B, Shin M, McFadden DW. Laparoscopic surgery for inflammatory bowel disease. Am Surg. 1995;61:1054–6.

    Google Scholar 

  11. Hildebrandt U, Lindemann W, Kreissler-Hagg D, Feifei G, Ecker KW. Laparoscopically-assisted proctocolectomy with ileoanal pouch in ulcerative colitis. Zentralbl Chir. 1998;123:403–5.

    CAS  PubMed  Google Scholar 

  12. Milsom JW, Ludwig KA, Church JM, Garcia Ruiz A. Laparoscopic total abdominal colectomy with ileorectal anastomosis for familial adenomatous polyposis. Dis Colon Rectum. 1997;40:675–8.

    Article  CAS  Google Scholar 

  13. Araki Y, Ishibashi N, Ogata Y, Shirouzo K, Isomoto H. The usefulness of restorative laparoscopic-assisted total colectomy for ulcerative colitis. Kurume Med J. 2001;48(2):99–103.

    Article  CAS  Google Scholar 

  14. Berdah SV, Barthet M, Emungania O, Orsoni P, Alliot P, Grimaud JC, Brunet C. Two stage video-assisted restorative proctocolectomy. Early experience of 12 cases. Ann Chir. 2004;129(6–7):332–6.

    Article  CAS  Google Scholar 

  15. Otani Y, Nakamura T, Kanazawa H, Aihara N, Kokuba Y, Ihara A, Kakita A. Article in Japanese [Laparoscopy–assisted ileal pouch anal canal anastomosis for ulcerative colitis]. Jpn J Gastroenterol Surg. 2001;34(4):351–6.

    Article  Google Scholar 

  16. Dunker MS, Bemelman WA, Slors JFM, van Duijvendijk P, Gouma DJ. Functional outcome, quality of life, body image, and cosmesis in patients after laparoscopic assisted and conventional restorative proctocolectomy—A comparative study. Dis Colon Rectum. 2001;44(12):1800–7.

    Article  CAS  Google Scholar 

  17. Larson DW, Cima RR, Dozois EJ, Davies M, Piotrowicz K, Barnes SA, Wolff B, Pemberton J. Safety, feasibility, and short-term outcomes of laparoscopic illeal-pouch- anal anastomosis—A single institutional case-matched experience. Ann Surg. 2006;243(5):667–72.

    Article  Google Scholar 

  18. Schmitt SL, Cohen SM, Wexner SD, Nogueras JJ, Jagelman DG. Does laparoscopic-assisted ileal pouch anal anastomosis reduce the length of hospitalization? Int J Color Dis. 1994;9(3):134–7.

    Article  CAS  Google Scholar 

  19. Brown SR, Eu KW, Seow-Choen F. Consecutive series of laparoscopic-assisted vs. minilaparotomy restorative proctocolectomies. Dis Colon Rectum. 2001;44(3):397–400.

    Article  CAS  Google Scholar 

  20. Hashimoto A, Funayama Y, Naito H, Fukushima K, Shibata C, Naitoh T, Shibuya K, Koyama K, Takahashi K, Ogawa H, Satoh S, Ueno T, Kitayama T, Matsuno S, Sasaki I. Laparascope-assisted versus conventional restorative proctocolectomy with rectal mucosectomy. Surg Today. 2001;31(3):210–4.

    Article  CAS  Google Scholar 

  21. Maartense S, Dunker MS, Slors JF, Cuesta MA, Gouma DJ, van Deventer SJ, van Bodegraven AA, Bemelman WA. Hand-assisted laparoscopic versus open restorative proctocolectomy with ileal pouch anal anastomosis: a randomized trial. Ann Surg. 2004;240(6):984–91.

    Article  Google Scholar 

  22. Marcello PW, Milsom JW, Wong SK, Hammerhofer KA, Goormastic M, Church JM, Fazio VW. Laparoscopic restorative proctocolectomy: case-matched comparative study with open restorative proctocolectomy. Dis Colon Rectum. 2000;43(5):604–8.

    Article  CAS  Google Scholar 

  23. El-Gazzaz GS, Kiran RP, Remzi FH, Hull TL, Geisler DP. Outcomes for case-matched laparoscopically assisted versus open restorative proctocolectomy. Br J Surg. 2009;96(5):522–6.

    Article  CAS  Google Scholar 

  24. White I, Jenkins JT, Coomber R, Clark SK, Phillips RKS, Kennedy RH. Outcomes of laparoscopic and open restorative proctocolectomy. Br J Surg. 2014;101(9):1160–5.

    Article  CAS  Google Scholar 

  25. Fajardo AD, Dharmarajan S, George V, Hunt SR, Birnbaum EH, Fleshman JW, Mutch MG. Laparoscopic versus open 2-stage ileal pouch: Laparoscopic approach allows for faster restoration of intestinal continuity. J Am Coll Surg. 2010;211(3):377–83.

    Article  Google Scholar 

  26. Polle SW, Van Berge Henegouwen MI, Slors JFM, Cuesta MA, Gouma DJ, Bemelman WA. Total laparoscopic restorative proctocolectomy: Are there advantages compared with the open and hand-assisted approaches? Dis Colon Rectum. 2008;51(5):541–8.

    Article  Google Scholar 

  27. Rivadeneira DE, Marcello PW, Roberts PL, Rusin LC, Murray JJ, Coller JA, Schoetz DJ. Benefits of hand-assisted laparoscopic restorative proctocolectomy: A comparative study. Dis Colon Rectum. 2004;47(9):1371–6.

    Article  Google Scholar 

  28. Ali UA, Keus F, Heikens JT, Bemelman WA, Berdah SV, Gooszen HG, Van Laarhoven CJHM. Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev. 2009;(1):CD006267.

    Google Scholar 

  29. Duff SE, Sagar PM, Rao M, Macafee D, El-Khoury T. Laparoscopic restorative proctocolectomy: Safety and critical level of the ileal pouch anal anastomosis. Color Dis. 2012;14(7):883–6.

    Article  CAS  Google Scholar 

  30. Gill TS, Karantana A, Rees J, Pandey S, Dixon AR. Laparoscopic proctocolectomy with restorative ileal-anal pouch. Color Dis. 2004;6(6):458–61.

    Article  CAS  Google Scholar 

  31. Polle SW, Dunker MS, Slors JFM, Sprangers MA, Cuesta MA, Gouma DJ, Bemelman WA. Body image, cosmesis, quality of life, and functional outcome of hand-assisted laparoscopic versus open restorative proctocolectomy: long-term results of a randomized trial. Surg Endosc. 2007;21(8):1301–7.

    Article  CAS  Google Scholar 

  32. Goede AC, Reeves A, Dixon AR. Laparoscopic restorative proctocolectomy: a 10-year experience of an evolving technique. Color Dis. 2011;13(10):1153–7.

    Article  CAS  Google Scholar 

  33. Fichera A, Silvestri MT, Hurst RD, Rubin MA, Michelassi F. Laparoscopic restorative proctocolectomy with ileal pouch anal anastomosis: a comparative observational study on long-term functional results. J Gastrointest Surg. 2009;13(3):526–32.

    Article  Google Scholar 

  34. Taylor GW, Jayne DG, Brown SR, et al. Adhesions and incisional hernias following laparoscopic versus open surgery for colorectal cancer in the CLASICC trial. Br J Surg. 2010;97:70–8.

    Article  CAS  Google Scholar 

  35. Benlice C, Stocchi L, Costedio M, Gorgun E, Hull T, Kessler H, Remzi FH. Laparoscopic IPAA is not associated with decreased rates of incisional hernia and small-bowel obstruction when compared with open technique: Long-term follow-up of a case-matched study. Dis Colon Rectum. 2015;58(3):314–20.

    Article  Google Scholar 

  36. Indar AA, Efron JE, Young-Fadok TM. Laparoscopic ileal pouch-anal anastomosis reduces abdominal and pelvic adhesions. Surg Endosc Other Interv Tech. 2009;23(1):174–7.

    Article  Google Scholar 

  37. Oresland T, Palmblad S, Ellstrom M, et al. Gynaecological and sexual function related to anatomical changes in the female pelvis after restorative proctocolectomy. Int J Color Dis. 1994;9:77–81.

    Article  CAS  Google Scholar 

  38. Bartels SAL, D’Hoore A, Cuesta MA, Bensdorp AJ, Lucas C, Bemelman WA. Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study. Ann Surg. 2012;256(6):1045–8.

    Article  Google Scholar 

  39. Waljee A, Waljee J, Morris AM, Higgins PD. Threefold increased risk of infertility: a meta-analysis of infertility after ileal pouch anal anastomosis in ulcerative colitis. Gut. 2006;55:1575–80.

    Article  CAS  Google Scholar 

  40. Cornish J, Tan E, Singh B, et al. Female infertility following restorative proctocolectomy. Color Dis. 2011;10:e339–44.

    Article  Google Scholar 

  41. Rajaratnam SG, Eglinton TW, Hider P, et al. Impact ofileal pouch-anal anasto- mosis on female fertility: meta-analysis and systematic review. Int J Color Dis. 2011;11:1365–74.

    Article  Google Scholar 

  42. Beyer-Berjot L, Maggiori L, Birnbaum D, Lefevre JH, Berdah S, Panis Y. A total laparoscopic approach reduces the infertility rate after ileal pouch-anal anastomosis: a 2-center study. Ann Surg. 2013;258(2):275–82.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alexander J. Greenstein .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Whitney, S.L., Greenstein, A.J. (2019). Role of Minimally Invasive Surgery in Pouch Surgery. In: Hyman, N., Fleshner, P., Strong, S. (eds) Mastery of IBD Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16755-4_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16755-4_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16754-7

  • Online ISBN: 978-3-030-16755-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics