期刊名称：Journal of Minimally Invasive Surgical Sciences
印刷版ISSN：2251-7022
电子版ISSN：2251-7030
出版年度：2012
卷号：1
期号：1
页码：21-23
DOI：10.5812/jmiss.1843
出版社：Kowsar
摘要：Background: Familial adenomatous polyposis (FAP) is a well-known entity for specialist and it has near 100% chance of malignant changes if does not managed surgically. In order to reduce the disadvantages of laparatomy and diverting ileostomy we present our results of laparoscopic total proctocolectomy without diverting ileostomy. Objectives: The aim of this study was to present the results of laparoscopic total proctocolectomy and J pouch ileoanal anastomosis without diverting ileostomy in managing patients with familial adenomatous polyposis (FAP). Patients and Methods: Hospital records of 19 patients who were diagnosed with FAP and underwent laparoscopic restorative proctocolectomy without ileostomy were retrospectively evaluated in this study. Early complications and demographic data were considered. Results: The mean age of patients was 34 years, with a standard deviation of 4.3 years. The most common presenting symptom was rectal bleeding. Two weeks after the operation, no leakage was detected at the site of anastomosis, but some patients experienced temporary diarrhea and fecal incontinence. Conclusions: Laparoscopic total proctocolectomy and J Pouch ileoanal anastomosis without diverting loop ileostomy seems to be a safe procedure in the management of FAP.
