Clinical Aspects of Total Colectomy. Laparoscopic Versus Open Technique for Familial Adenomatous Polyposis and Ulcerative Colitis.
-
- ARAKI YASUMI
- Department of Surgery, Kurume University Medical Center
-
- ISOMOTO HIROHARU
- Department of Surgery, Kurume University Medical Center
-
- TSUZI YOSHIAKI
- Department of Surgery, Kurume University Medical Center
-
- MATSUMOTO ATSUSHI
- Department of Surgery, Kurume University Medical Center
-
- YASUNAGA MASAFUMI
- Department of Surgery, Kurume University Medical Center
-
- TOH UHI
- Department of Surgery, Kurume University Medical Center
-
- YAMAUCHI KENZI
- Department of Surgery, Kurume University Medical Center
-
- SHIROUZU KAZOO
- Department of Surgery, Kurume University School of Medicine
Bibliographic Information
- Other Title
-
- Laparoscopic Versus Open Technique for Familial Adenomatous Polyposis and Ulcerative Colitis
Search this article
Abstract
Clinical aspects of laparoscopy combined total colectomy (LTC)(n=10) and open total colectomy (OTC)(n=29) with ileorectal anastomosis for familial adenomatous polyposis and ulcerative colitis are compared in a retrospective study. The mean operative time was 282 (range, 169 to 420) minutes in the LTC group and 274 (range, 139 to 570) minutes in the OTC group. The mean volume of operative blood loss was 321 (range, 52 to 728) ml and 471 (range, 48 to 1040) ml for the LTC and OTC groups, respectively. Nasogastoric tube could be removed after POD 1.2 vs. 5.8 (p<0.05), the mean time to passage of stool was 1.9 (range, 1 to 3) vs. 5.2 (range, 3 to 7) days (p<0.01), and in the LTC group watery stool was soon made solidification after POD 23.4 vs. 84.1 (p<0.01). Laparoscopy combined total colectomy may prove to have one-stage restorative total colectomy without a temporary ileostomy due to early solidification of watery stool and more benefits than conventional open surgery.
Journal
-
- The Kurume Medical Journal
-
The Kurume Medical Journal 45 (2), 203-207, 1998
Kurume University School of Medicine
