ΠΜΣ Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική & Τηλεχειρουργική
Library of the School of Health Sciences

2013-06-07

2013

Βάρδας Κωνσταντίνος

Χ.Τσιγκρής, Ν.Νικητέας, Ι.Γκρινιάτσος

Laparoscopic versus open proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis

English

Σύγκριση ανοικτής με λαπαροσκοπική πρωκτοκολεκτομή με δημιουργία νεοληκύθου για αντιμετώπιση ελκώδους κολίτιδας

BACKGROUND: Restorative proctocolectomy with ileal Pouch Anal anastomosis is
the most
definite operation for ulcerative colitis. The last decade this demanding
operation can be
performed laparoscopically. The presumed benefits of laparoscopic approach
should be
evaluated systematically.
OBJECTIVE: The study aimed to conduct a systematic review of the randomized
evidence to
compare laparoscopic versus open ileal pouch for ulcerative colitis.
DATA SOURCES: Pubmed, Medline and the Cochrane library databases were
electronically
searched(January 1990–May 2012).
SELECTION CRITERIA: Clinical trials comparing all types of IPPA versus open
IPPA. The trials
should be in the English language.
MAIN OUTCOME MEASURES: The main outcomes measured were morbidity, mortality,
operation time, readmission rate, intraoperative blood loss, functional
outcome, quality of
life, cosmesis and adhesion formation.
RESULTS: Fifteen clinical trials, a total number of 1540 patients, were
included in this
systematic review. There was only one randomized clinical trial. The
laparoscopic IPPA is a
safe and feasible technique that can be performed successfully by experienced
laparoscopic
colorectal surgeons. There are no differences in morbidity and mortality,
intraoperative
blood loss, hospital stay, readmission rate, functional outcome and quality of
life versus
open approach. Moreover there is higher cosmetic result, fewer adhesions and
loop
ileostomy closure after laparoscopic approach is easier. Οperative time is
significantly longer
in laparoscopic group.

Laparoscopic, Ulcerative colitis, Ileo anal anastomosis, Pouch, Inflammatory bowel disease

No

0

Yes

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https://pergamos.lib.uoa.gr/uoa/dl/object/1314960