TU2.13 Laparoscopic/robotic restorative proctectomy in the District General Hospital setting

Abstract Aims Ileal pouch anal anastomosis/restorative proctectomy is a standard surgical treatment for ulcerative colitis performed in few specialist centres. We report the evolution of service at our trust which originally carried out open surgery but has moved practice towards laparoscopic and robotic-assisted surgery. The aim this study was to assess functional outcomes patients undergoing laparoscopic/robotic-assisted IPAA. Methods Data were prospectively collected from consecutive laparoscopic/robotic IPAA cases 2014 2021. Patient demographics, operative details, postoperative complications, collected. Patients selected by IBD specialized surgeons reviewed nurse. Follow-up consisted clinical examination assessment function. Results 18 underwent or robotic during period, 13 (72.23%) males. Median age 28 years. Indication colitis. duration 7 hours. Four (22.23%) developed intra-abdominal collection, managed conservatively all except one, who required washout. median stay 8 days. rate severe Grade 3 4 on Clavien-Dindo classification 11.12%. During follow up 75 months, there no failures. stool frequency 6 daily. Conclusion Our data suggests that with good patient selection guidance an experienced nurse, safe feasible. Good perioperative acceptable function can be achieved DGH setting team ensure consistent care patients.