laparoscopic restorative proctocolectomy without diverting loop ileostomy in patients with familial adenomatous polyposis

نویسندگان

ali mohammad mohammad bananzadeh colorectal research center, shiraz university of medical sciences, iran; laparoscopy research center, shiraz university of medical sciences, iran +98- 7112331006, [email protected]

abbas rezaianzadeh colorectal research center, shiraz university of medical sciences, iran; department of epidemiology, school of health and nutrition, shiraz university of medical sciences, iran

leila ghahramani colorectal research center, shiraz university of medical sciences, iran

seyed vahid vahid hosseini colorectal research center, shiraz university of medical sciences, iran; laparoscopy research center, shiraz university of medical sciences, iran +98- 7112331006, [email protected]; laparoscopy research center, shiraz university of medical sciences, iran +98- 7112331006, [email protected]

چکیده

background: familial adenomatous polyposis (fap) is a well-known entity for specialistrnand it has near 100% chance of malignant changes if does not managed surgically. in orderrnto reduce the disadvantages of laparatomy and diverting ileostomy we present ourrnresults of laparoscopic total proctocolectomy without diverting ileostomy.rnobjectives: the aim of this study was to present the results of laparoscopic total proctocolectomyrnand j pouch ileoanal anastomosis without diverting ileostomy in managingrnpatients with familial adenomatous polyposis (fap).rnpatients and methods: hospital records of 19 patients who were diagnosed with fap and underwentrnlaparoscopic restorative proctocolectomy without ileostomy were retrospectivelyrnevaluated in this study. early complications and demographic data were considered.rnresults: the mean age of patients was 34 years, with a standard deviation of 4.3 years. thernmost common presenting symptom was rectal bleeding. two weeks after the operation,rnno leakage was detected at the site of anastomosis, but some patients experienced temporaryrndiarrhea and fecal incontinence.rnconclusions: laparoscopic total proctocolectomy and j pouch ileoanal anastomosis withoutrndiverting loop ileostomy seems to be a safe procedure in the management of fap.

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عنوان ژورنال:
journal of minimally invasive surgical sciences

جلد ۱، شماره ۱، صفحات ۲۱-۳

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