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Restorative Protocolectomy with Ileal Pouch- Anal Anastomosis for FAP

The Role of Laparoscopy — An Overview

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Intestinal Polyps and Polyposis

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Abstract

The interest in a minimally invasive technique for familial adenomatous polyposis (FAP) has extensively increased in the last 10 years. As shown in many published studies, the laparoscopic approach has already been used in many patients, with outcomes that are at least comparable to open surgery, as far as functional results are concerned. Furthermore, it seems that laparoscopic surgery can offer less tissue trauma, fewer postoperative complications (e.g. incisional hernias), and better cosmetic results. Unfortunately, there is a steep learning curve for these procedures, and the costs are higher than for open surgery. More studies are needed to clarify the roles of these approaches in FAP patients.

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References

  1. Onaitis MW, Mantyh C (2003) Ileal pouch-anal anastomosis for ulcerative colitis and familial adenoumatos polyposis. Historical development and current status. Ann Surg 238:542–548.

    Google Scholar 

  2. Seidel SA, Peach SE, Newman M, Sharp KW (1999) Ileal pouch procedures: clinical outcomes and quality of life assessment. Am Surg 1:40–46.

    Google Scholar 

  3. Fazio VW, Ziv Y, Church JM, et al (1995) Ileal pouch-anal anastomosis, complications and function in 1005 patients. Ann Surg 222:120–127.

    Article  PubMed  CAS  Google Scholar 

  4. Nyam DC, Brillant PT, Dozois RR (1997) Ileal pouch-anal anastomosis for familial adenoumatos polyposis. Ann Surg 226:514–521.

    Article  PubMed  CAS  Google Scholar 

  5. Penna CH (2002) Gestione chirurgica della poliposi adenomatosa familiare. J Chir 139:260–267.

    Google Scholar 

  6. Ravitch MM, Sabiston DC (1947) Anal ileostomy with preservation of the sphincter: a proposed operation in patients requiring total colectomy for benign lesions. Surg Gyn Obst 84:1095–1099.

    Google Scholar 

  7. Parks AG, Nicholls RJ (1978) Proctocolectomy without ileostomy for ulcerative colitis. Br Med J 2:85–88.

    Article  PubMed  CAS  Google Scholar 

  8. Radice E, Dozois RR (1999) Techniques of ileoanal anastomosis: historical evolution, refinements and current approaches. Tech Coloproctol 3:27–32.

    Article  Google Scholar 

  9. Kienle P, Z’graggen K, Schmidt J, et al (2005) Laparoscopic restorative proctocolectomy. Br J Surg 92:88–93.

    Article  PubMed  CAS  Google Scholar 

  10. Braga M, Vignali A, Gianotti L, et al (2002) Laparoscopic versus open colorectal surgery. Ann Surg 236:759–767.

    Article  PubMed  Google Scholar 

  11. Lacy AM, Garcia-Valdecasas JC, Delgado S, et al (2002) Laparoscopy-assisted colectomy versus open colectomy for treatment of non metastatic colon cancer: a randomized trial. Lancet 359:2224–2229.

    Article  PubMed  Google Scholar 

  12. The Clnical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059.

    Article  Google Scholar 

  13. Wexner SD, Johansen OB, Nogueras JJ, Jagelman DG (1992) Laparoscopic total abdominal colectomy. A prospective trial. Dis Colon Rectum 35:651–655.

    Article  PubMed  CAS  Google Scholar 

  14. Santoro E, Carlini M, Carboni F, Feroce A (1999) Laparoscopic total proctocolectomy with ileal J pouch-anal anastomosis. Hepatogastroenterology 46:894–899.

    PubMed  CAS  Google Scholar 

  15. Milsom JW, Ludwing KA, Church JM, Garcia-Ruiz A (1997) Laparoscopic total abdominal colecomy with ileo rectal anastomosis for familial adenomatous polyposis. Dis Colon Rectum 40:675–678.

    Article  PubMed  CAS  Google Scholar 

  16. Gill TS, Karantana A, Rees J, et al (2004) Laparoscopic proctocolectomy with restorative ileal-anal pouch. Colorectal Dis 6:458–461.

    Article  PubMed  CAS  Google Scholar 

  17. Reissman P, Salky BA, Pfeifer J, et al (1996) Laparoscopic surgery in the management of inflammatory bowel disease. Am J Surg 171:47–50.

    Article  PubMed  CAS  Google Scholar 

  18. Marcello PW, Milsom JW, Wong SK, et al (2000) Laparoscopic restorative proctocolectomy. Case-matched comparative study with open restorative proctocolectomy. Dis Colon Rectum 43:604–608.

    Article  PubMed  CAS  Google Scholar 

  19. Dunker MS, Bemelman WA, Slors JFM, et al (2001) Functional out come, quality of life, body image and cosmesis in patients after laparoscopic-assisted and conventional restorative proctocolectomy. A comparative study. Dis Colon Rectum 44:1800–1807.

    Article  PubMed  CAS  Google Scholar 

  20. Larson DW, Dozois EJ, Piotrowicz K, et al (2005) Laparoscopic-assisted vs open ileal pouch-anal anastomosis: functional out come in a case-matched series. Dis Colon Rectum 48:1845–1850.

    Article  PubMed  Google Scholar 

  21. Kessler H (2006) Laparoscopic surgery in inflammatory bowel disease: is the future already here? Curr Opin Gastroenterol 22:391–395.

    Article  PubMed  Google Scholar 

  22. Zhang H, Hu S, Zhang G, et al (2007) Laparoscopic versus open proctocolectomy with ileal-pouch-anal-anastomosis. Mini Invasive Ther Allied Technol 16:187–191.

    Article  Google Scholar 

  23. McNevin SM, Bax T, MacFarlane M, et al (2006) Outcomes of a laparoscopic approach for total abdominal colectomy and proctocolectomy. Am J Surg 5:673–676.

    Article  Google Scholar 

  24. Heise CP, Kennedy G, Foley EF, Harms BA (2008) Laparoscopic restorative proctocolectomy with ileal S-pouch. Dis Colon Rectum July 8:epub ahead of print.

    Google Scholar 

  25. Maartense S, Dunker MS, Slors FJ, et al (2004) Handassisted laparoscopic versus open restorative proctocolectomy with ileal pouch anastomosis. A randomized trial. Ann Surg 240:984–992.

    Article  PubMed  Google Scholar 

  26. Agha A, Moser C, Iesalnieres I, et al (2008) Combination of hand-assisted and laparoscopic proctocolectomy (HALP): technical aspects, learning curve and early postoperative results. Surg Endosc 22:1547–1552.

    Article  PubMed  Google Scholar 

  27. Boller AM, Larson DW (2007) Laparoscopic restorative proctocolectomy for ulcerative colitis. J Gastrointest Surg 11:3–7.

    Article  PubMed  Google Scholar 

  28. Hasegawa S, Nomura A, Kawamura J, et al (2007) Laparoscopic restorative total proctocolectomy with mucosal resection. Dis Colon Rectum 50:1152–1156.

    Article  PubMed  Google Scholar 

  29. Alves A, Panis Y (2005) Anastomoses iléoanales avec réservoir par voie laparoscopique. Ann Chir 130:421–425.

    Article  PubMed  CAS  Google Scholar 

  30. Lòpez-Rosales F, Gonzàles-Contreras Q, Muro LJ, et al (2007) Laparoscopic total proctocolectomy with ileal pouch anal-anastomosis for ulcerative colitis and familial adenomaous polyposis: initial experience in Mexico. Surg Endosc 21:2304–2307.

    Article  PubMed  Google Scholar 

  31. Polle SW, van BergeHenegouwen MI, Slors JF, et al (2008) Total laparoscopic restorative proctocolectomy: are there advantages compared with the open and hand-assisted approaches? Dis Colon Rectum 51:541–548.

    Article  PubMed  Google Scholar 

  32. Tan YJJ, Tjandra JJ (2006) Laparoscopic surgery for ulcerative colitis-a meta-analysis. Colorectal Dis 8:626–636.

    Article  PubMed  CAS  Google Scholar 

  33. Tilney HS, Lovegrove RE, Heriot AG, et al (2007) Comparison of short-term outcomes of laparoscopic vs open approaches to ileal pouch-surgery. Int J Colorectal Dis 22:531–542.

    Article  PubMed  Google Scholar 

  34. Ki AJ, Sonoda T, Milsom JW (2002) One-stage laparoscopic restorative proctocolectomy: an alternative to the conventional approach? Dis Colon Rectum 45:207–210.

    Article  Google Scholar 

  35. Sahakitrungruang C, Pattana-arun J, Tantiphlachiva K, et al (2008) Laparoscopic 4with small McBurney incision for ileal pouch construction without protective ileostomy. Dis Colon Rectum 51:1137–1138.

    Article  PubMed  Google Scholar 

  36. Casillas S, Delaney CP (2005) Laparoscopic surgery for inflammatory bowel disease. Dig Surg 22:135–142.

    Article  PubMed  Google Scholar 

  37. Kartheuser A, Stangherlin P, Brandt D, et al (2006) Restorative proctocolectomy and ileal pouch-anal anastomosis for familial adenomatous polyposis revisited. Familial Cancer 5:241–260.

    Article  PubMed  Google Scholar 

  38. Heuschen UA, Hinz U, Allemeyer EH (2002) Risk factors for ileoanal J pouch related septic complications in ulcerative colitis and familial adenomatous polyposis. Ann Surg 235:207–216.

    Article  PubMed  Google Scholar 

  39. Polle SW, Dunker MS, Slors JF, et al (2007) Body image, cosmesis, quality of life, and functional out come of handassisted laparoscopic versus open ristorative proctocolectomy: long-term results of a randomized trial. Surg Endosc 21:1301–1307.

    Article  PubMed  CAS  Google Scholar 

  40. Roses RE, Rombeau JL (2008) Recent trends in the surgical management of inflammatory bowel disease. World J Gastroenterol 14:408–412.

    Article  PubMed  Google Scholar 

  41. Duepree HJ, Senagore AJ, Delaney CP, Fazio VW (2003) Does means of access affect the incidence of small bowel obstruction and ventral hernia after bowel resections? Laparoscopy versus laparotomy. J Am Coll Surg 197:177–181.

    Article  PubMed  Google Scholar 

  42. Wexner SD, Cera SM (2005) Laparoscopic surgery for ulcerative colitis. Surg Clin N Am 85:35–47.

    Article  PubMed  Google Scholar 

  43. Hahnloser D, Pemberton JH, Wolff BG (2004) Pregnancy and delivery before and after ileal pouch-anal anastomosis for inflammatory bowel disease: immediate and long-term consequences and outcomes. Dis Colon Rectum 47:1127–1135.

    Article  PubMed  Google Scholar 

  44. Church J, Simmang C (2003) Standards Task Force of the American Society of Colon and Rectal Surgeons. Practice parameters for treatment of patients with dominantly colorectal cancer (familial adenomatous polyposis and hereditary nonpolyposis colorectal cancer). Dis Colon Rectum 46:1001–1012.

    Article  PubMed  Google Scholar 

  45. Bach SP, MacMortensen NJ (2006) Revolution and evolution: 30 years of ileoanal pouch surgery. Inflamm Bowel Dis 12:131–145

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Filippo Nifosì MD, Maurizio Mainente MD, Gianluca Colucci MD & Gian Gaetano Delaini MD

Authors
  1. Filippo Nifosì MD
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  2. Maurizio Mainente MD
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  3. Gianluca Colucci MD
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  4. Gian Gaetano Delaini MD
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Editor information

Editors and Affiliations

  1. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gian Gaetano Delaini

  2. Department of Surgery, Masaryk Memorial Cancer Institute, Brno, Czech Republic

    Tomáš Skřička

  3. Department of Surgery and Gastroenterology, University of Verona, Verona, Italy

    Gianluca Colucci

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© 2009 Springer-Verlag Italia

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Nifosì, F., Mainente, M., Colucci, G., Delaini, G.G. (2009). Restorative Protocolectomy with Ileal Pouch- Anal Anastomosis for FAP. In: Delaini, G.G., Skřička, T., Colucci, G. (eds) Intestinal Polyps and Polyposis. Springer, Milano. https://doi.org/10.1007/978-88-470-1124-3_16

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  • DOI: https://doi.org/10.1007/978-88-470-1124-3_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1123-6

  • Online ISBN: 978-88-470-1124-3

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