Background: Familial adenomatous polyposis (FAP) is a well-known entity for specialist\r\nand it has near 100% chance of malignant changes if does not managed surgically. In order\r\nto reduce the disadvantages of laparatomy and diverting ileostomy we present our\r\nresults of laparoscopic total proctocolectomy without diverting ileostomy.\r\nObjectives: The aim of this study was to present the results of laparoscopic total proctocolectomy\r\nand J pouch ileoanal anastomosis without diverting ileostomy in managing\r\npatients with familial adenomatous polyposis (FAP).\r\nPatients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent\r\nlaparoscopic restorative proctocolectomy without ileostomy were retrospectively\r\nevaluated in this study. Early complications and demographic data were considered.\r\nResults: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The\r\nmost common presenting symptom was rectal bleeding. Two weeks after the operation,\r\nno leakage was detected at the site of anastomosis, but some patients experienced temporary\r\ndiarrhea and fecal incontinence.\r\nConclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without\r\ndiverting loop ileostomy seems to be a safe procedure in the management of FAP.