laparoscopic restorative proctocolectomy without diverting loop ileostomy in patients with familial adenomatous polyposis
نویسندگان
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.
منابع مشابه
Restorative proctocolectomy for familial adenomatous polyposis coexisting with colorectal cancer.
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عنوان ژورنال:
journal of minimally invasive surgical sciencesجلد ۱، شماره ۱، صفحات ۲۱-۳
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