Minimal Access Laparoscopic Surgery for Treatment of Ulcerative Colitis and Familial Adenomatous Polyposis Coli in Children and Adolescents | oneFAPvoice

welcome to oneFAPvoice

- a positively charged Familial Adenomatous Polyposis community.
  • join today!
scientific articles

Minimal Access Laparoscopic Surgery for Treatment of Ulcerative Colitis and Familial Adenomatous Polyposis Coli in Children and Adolescents

key information

source: Journal of laparoendoscopic & advanced surgical techniques

year: 2014

authors: Lena Perger, Danny C. Little, Oliver J. Muensterer, Albert J. Chong, Carroll M. Harmon, Vincent E. Mortellaro

summary/abstract:

BACKGROUND : Laparoscopic restorative proctocolectomy is standard surgical treatment for patients with ulcerative colitis (UC) and familial adenomatous polyposis coli (FAP). Scar burden can be minimized by reducing the number of laparoscopic ports. The aim of this study is to review the authors’ experience with reduced-port laparoscopy in this setting and to compare it with conventional laparoscopy using multiple ports.

MATERIALS AND METHODS : Charts of pediatric patients undergoing colectomy for UC or FAP between 2009 and 2012 were retrospectively reviewed. Patients who had the operation performed through one or two multichannel ports were assigned to the minimal access (MA) study group. Patients who had four or five single-channel ports with or without an additional small laparotomy were assigned to the LAP group.

RESULTS : Twenty-two patients were identified. Ages at first operation were 2-18 years (median, 13.5 years). There were no conversions to laparotomy and no mortality. Mean operative times for the MA and LAP groups, respectively, were 250 and 284 minutes for abdominal colectomy with end ileostomy (P=.15), 198 and 301 minutes for completion proctectomy with diverting loop ileostomy (DLI) (P=.26), and 455 and 414 minutes for proctocolectomy with ileal pouch-anal anastomosis and DLI (P=.72). A major complication requiring laparotomy occurred in 1 patient (9%) in the MA group and in 2 patients (18%) in the LAP group.

CONCLUSIONS : Minimal access laparoscopic surgery for UC and FAP is safe and feasible. A slightly larger incision at the ostomy site facilitates extraction of the specimen and extracorporeal construction of a J-pouch. Operative times and hospital stay are comparable to those with multiport laparoscopy.

organization: McLane's Children's Hospital, Texas A&M College of Medicine

DOI: 10.1089/lap.2014.0390

read more full text source

To improve your experience on this site we use cookies. This includes cookies essential for the basic functionalities of our website, cookies used for analytical purposes and cookies enabling us to provide personalized content. You are free to set your cookie preferences at your will.
More information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close