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Abstract

This chapter considers the laparoscopic Total Colectomy with Pelvic Pouch procedure. The chapter presents the major indications and contra-indications for the procedure as well as the pre-operative considerations. We present our approach to the operation, which consists of a laparoscopic subtotal colectomy, followed by colon extraction and ileal pouch creation through the right lower-quadrant port site. Pneumoperitoneum is then re-established and the proctectomy is completed laparoscopically and the pouch anal anastomosis performed under laparoscopic visualization. A loop ileostomy is sited at the right lower quadrant port site.

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Recommended Literature

  1. Georgeson KE (2002) Laparoscopic-assisted total colectomy with pouch reconstruction. Semin Pediatr Surg 11:233–236

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  2. Kienle P, Zgraggen K, Schmidt J, Benner A, Weitz J, Buchler MW (2005) Laparoscopic restorative proctocolectomy. Br J Surg 92:88–93

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  3. Proctor ML, Langer JC, Gerstle JT, Kim PC (2002) Is laparoscopic subtotal colectomy better than open subtotal colectomy in children? J Pediatr Surg 37:706–708

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© 2009 Springer-Verlag Berlin Heidelberg

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Diamond, I., Langer, J. (2009). Total Colectomy with Pelvic Pouch. In: Saxena, A., Höllwarth, M. (eds) Essentials of Pediatric Endoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78387-9_38

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  • DOI: https://doi.org/10.1007/978-3-540-78387-9_38

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-78386-2

  • Online ISBN: 978-3-540-78387-9

  • eBook Packages: MedicineMedicine (R0)

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