Levic Souzani Katarina, Nielsen Claus Buhl, Bulut Orhan
Gastrounit - Surgical Division, Center for Surgical Research, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Institute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Asian J Endosc Surg. 2019 Jul;12(3):281-286. doi: 10.1111/ases.12646. Epub 2018 Sep 9.
Laparoscopic dissection in the pelvis is still a challenge. A transanal approach to rectal dissection allows better visualization during the dissection of the rectum and the creation of an anastomosis. Although initially used for patients with rectal cancer, the transanal approach may also have benefits in the surgical treatment of ulcerative colitis (UC). The aim of this study was to describe our initial experience with transanal completion proctectomy and ileal pouch-anal anastomosis for UC.
This study included all consecutive patients who underwent transanal completion proctectomy and ileal pouch-anal anastomosis for UC between September 2017 and February 2018.
Eleven patients were included in the study; they had a median age of 30 years (range, 13-51 years). The median operative time was 285 min (range, 190-375 min). There were no intraoperative complications or conversions to open surgery. Postoperative complications occurred in only one patient (anastomotic leak), and the median length of hospital stay was 7 days (range, 5-37 days).
Our initial experience with transanal completion proctectomy and ileal pouch-anal anastomosis shows promising results, demonstrating the feasibility of the transanal approach in patients with UC.
盆腔腹腔镜解剖仍是一项挑战。经肛门直肠解剖方法在直肠解剖和吻合口创建过程中能提供更好的视野。尽管最初用于直肠癌患者，但经肛门途径在溃疡性结肠炎（UC）的外科治疗中可能也有优势。本研究的目的是描述我们经肛门完成直肠切除术和回肠储袋肛管吻合术治疗UC的初步经验。
本研究纳入了2017年9月至2018年2月期间所有连续接受经肛门完成直肠切除术和回肠储袋肛管吻合术治疗UC的患者。
11例患者纳入本研究；他们的中位年龄为30岁（范围13 - 51岁）。中位手术时间为285分钟（范围190 - 375分钟）。无术中并发症或转为开放手术的情况。仅1例患者发生术后并发症（吻合口漏），中位住院时间为7天（范围5 - 37天）。
我们经肛门完成直肠切除术和回肠储袋肛管吻合术的初步经验显示出有前景的结果，证明了经肛门途径在UC患者中的可行性。
