Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study
El Desoky, M., El Nakeeb, A., El Sorogy, M., Hamed, H., Attia, M., Ezzat, H., El Hemly, M., El-Geidi, A., Moneer, A. (2020). Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study. EKB Journal Management System, 39(4), -. doi: 10.4103/ejs.ejs_139_20
Mohamed El Desoky; Ayman El Nakeeb; Mohamed El Sorogy; Hosam Hamed; Mohamed Attia; Helmy Ezzat; Mohamed El Hemly; Ahmed El-Geidi; Ahmed Moneer. "Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study". EKB Journal Management System, 39, 4, 2020, -. doi: 10.4103/ejs.ejs_139_20
El Desoky, M., El Nakeeb, A., El Sorogy, M., Hamed, H., Attia, M., Ezzat, H., El Hemly, M., El-Geidi, A., Moneer, A. (2020). 'Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study', EKB Journal Management System, 39(4), pp. -. doi: 10.4103/ejs.ejs_139_20
El Desoky, M., El Nakeeb, A., El Sorogy, M., Hamed, H., Attia, M., Ezzat, H., El Hemly, M., El-Geidi, A., Moneer, A. Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study. EKB Journal Management System, 2020; 39(4): -. doi: 10.4103/ejs.ejs_139_20

Comparative study between open and laparoscopic total proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a propensity score-matched study

The Egyptian Journal of Surgery
Article 25, Volume 39, Issue 4, December 2020    PDF (94.7 K)
DOI: 10.4103/ejs.ejs_139_20
Authors
Mohamed El Desoky; Ayman El Nakeeb; Mohamed El Sorogy; Hosam Hamed; Mohamed Attia; Helmy Ezzat; Mohamed El Hemly; Ahmed El-Geidi; Ahmed Moneer
Abstract
Background
The purpose of the study was to compare laparoscopic vs open restorative total proctocolectomy with ileal pouch-anal anastomosis (TPC-IPAA) for ulcerative colitis regarding safety, feasibility, and postoperative outcome.
Patients and methods
This is a propensity score-matched study of cases that underwent TPC-IPAA for ulcerative colitis from February 2009 to December 2017. The data were collected from a prospectively maintained web-based hospital registry. Cases were distributed TPC-IPAATPC-IPAA into two classes depending on the form of method: group I (open TPC-IPAA) and group II (laparoscopic TPC-IPAA).
Results
The duration of the operation was significantly longer in the laparoscopic group (=0.0001). The length of the wound is significantly longer in the open group (=0.0001). Postoperative pain was significantly less in the laparoscopic group. Patients in the laparoscopic group started oral intake earlier than the open group (=0.0001). The incidence of overall postoperative morbidity was 39.3% in the laparoscopic group compared with 60.7% in the open group (=0.11). Functional outcomes and postoperative anorectal manometry were comparable between both the groups.
Conclusion
Laparoscopic TPC-IPAA was equivalent to open TPC-IPAA in terms of health and viability. Laparoscopic TPC-IPAA showed superior postoperative cosmoses, less postoperative pain, earlier resumed oral intake, but with longer operating time.
Keywords
lanal incontinence; pouchitis; ulcerative colitis
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