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 HOW I DO IT
Year : 2015  |  Volume : 11  |  Issue : 3  |  Page : 218-222

Laparoscopic restorative proctocolectomy ileal pouch anal anastomosis: How I do it?


1 Department of Surgical Gastroenterology, Sterling Hospital, Ahmedabad, Gujarat, India
2 Kaizen Hospital, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Manish A Madnani
Department of Surgical Gastroenterology, Kaizen Hospital, Institute of Gastroenterology and Research Centre, 132' Ring Road, Helmet Cross Roads, Memnagar, Ahmedabad, Gujarat - 380 052
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.140204

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Surgery for ulcerative colitis is a major and complex colorectal surgery. Laparoscopy benefits these patients with better outcomes in context of cosmesis, pain and early recovery, especially in young patients. For surgeons, it is a better tool for improving vision and magnification in deep cavities. This is not the simple extension of the laparoscopy training. Starting from preoperative preparation to post operative care there are wide variations as compared to open surgery. There are also many variations in steps of laparoscopic surgery. It involves left colon, right colon and rectal mobilisation, low division of rectum, pouch creation and anastomosis of pouch to rectum. Over many years after standardisation of this technique, it takes same operative time as open surgery at our centre. So we present our standardized technique of laparoscopic assisted restorative proctocolectomy and ileal pouch anal anastomosis (IPAA).






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