Laparoscopic and natural orifice transluminal restorative proctocolectomy: no abdominal incision for specimen extraction or ileostomy

Cuneyt Kayaalp; Mehmet Ali Yagci; Vural Soyer

doi:10.5114/wiitm.2016.59578

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abstract:

Case report

Laparoscopic and natural orifice transluminal restorative proctocolectomy: no abdominal incision for specimen extraction or ileostomy

Cuneyt Kayaalp

,

Mehmet Ali Yagci

,

Vural Soyer

Videosurgery Miniinv 2016; 11 (2): 115–120

DOI: https://doi.org/10.5114/wiitm.2016.59578

Online publish date: 2016/04/27

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The aim of this study was to demonstrate the feasibility of laparoscopic restorative proctocolectomy (LRPC) without additional abdominal incisions. Two sisters with familial adenomatous polyposis were enrolled. The colon and rectum were mobilized entirely through the five abdominal trocars. The terminal ileum and distal rectum were transected with endoscopic staplers. The entire colorectal specimen was extracted transanally. A circular stapler anvil was introduced transanally. The J-pouch was created intracorporeally. The rectal stump was re-closed and a pouch-anal anastomosis was created using a circular stapler. We used a transanal tube for decompression of the pouch instead of a diverting ileostomy. The patients were discharged on the 10th and 12th days uneventfully. Both were doing well with their pouches after 18.5 and 12.1 months of follow-up. With the help of transanal specimen extraction and transanal tube decompression, additional abdominal incisions can be avoided following LRPC.

keywords:

laparoscopic restorative proctocolectomy, natural orifice surgery, natural orifice transendoluminal surgery, natural orifice specimen extraction, ileostomy

Laparoscopic and natural orifice transluminal restorative proctocolectomy: no abdominal incision for specimen extraction or ileostomy

Cuneyt Kayaalp , Mehmet Ali Yagci , Vural Soyer

laparoscopic restorative proctocolectomy, natural orifice surgery, natural orifice transendoluminal surgery, natural orifice specimen extraction, ileostomy

Cuneyt Kayaalp

,

Mehmet Ali Yagci

,

Vural Soyer