PDF(Pubmed)
Abstract：
UNASSIGNED: Although laparoscopic total proctocolectomy with ileal pouch-anal anastomosis has recently been used for this group of patients, there are rare reports of its treatment outcomes and postoperative complications. For this purpose, the very aim of the present study was to evaluate the complications of this surgery after 6 months in patients with familial adenomatous polyposis (FAP) and ulcerative colitis (UC).
UNASSIGNED: The present cross-sectional study was performed on 20 patients undergoing restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) for FAP or UC during 2009-2014. Outcomes of patients were recorded 6 months after surgery for complications and satisfaction.
UNASSIGNED: There were 11 (60%) males and 9 (40%) females with a mean age of 30.65 ± 9.59 years. There were 12 patients (60%) with FAP and eight patients (40%) with UC. The length of stay (LOS) ranged from 4 days to 10 days with the mean of 6.40 ± 1.76 days. The incidence of complications including leak, urinary retention, and wound infection were 10%, 5%, and 10%, respectively. Moreover, no postoperative mortalities occurred. Male patients had no problems during sexual activity or micturition. All patients were highly satisfied with the outcome of the surgery.
UNASSIGNED: According to the results of the present study, laparoscopic RPC-IPAA was a surgery with the least complications and the highest level of satisfaction for young patients with FAP and UC. Therefore, it seems that this surgery can be a suitable surgical method for the mentioned patients.
UNASSIGNED: The present cross-sectional study was performed on 20 patients undergoing restorative proctocolectomy with ileal pouch-anal anastomosis (RPC-IPAA) for FAP or UC during 2009-2014. Outcomes of patients were recorded 6 months after surgery for complications and satisfaction.
UNASSIGNED: There were 11 (60%) males and 9 (40%) females with a mean age of 30.65 ± 9.59 years. There were 12 patients (60%) with FAP and eight patients (40%) with UC. The length of stay (LOS) ranged from 4 days to 10 days with the mean of 6.40 ± 1.76 days. The incidence of complications including leak, urinary retention, and wound infection were 10%, 5%, and 10%, respectively. Moreover, no postoperative mortalities occurred. Male patients had no problems during sexual activity or micturition. All patients were highly satisfied with the outcome of the surgery.
UNASSIGNED: According to the results of the present study, laparoscopic RPC-IPAA was a surgery with the least complications and the highest level of satisfaction for young patients with FAP and UC. Therefore, it seems that this surgery can be a suitable surgical method for the mentioned patients.
摘要：
■尽管最近已对该组患者使用腹腔镜全直肠结肠切除术和回肠袋-肛门吻合术，关于其治疗结果和术后并发症的报道很少.为此,本研究的目的是评估家族性腺瘤性息肉病(FAP)和溃疡性结肠炎(UC)患者手术6个月后的并发症.
■本横断面研究是在2009-2014年期间对20例FAP或UC行回肠袋肛门吻合术（RPC-IPAA）的恢复性直肠切除术患者进行的。记录患者术后6个月的并发症及满意度。
■男性11例（60％），女性9例（40％），平均年龄为30.65±9.59岁。有12例(60%)FAP患者和8例(40%)UC患者。住院时间（LOS）为4天至10天，平均为6.40±1.76天。并发症的发生率，包括渗漏，尿潴留,伤口感染占10%,5%,10%,分别。此外，术后无死亡。男性患者在性活动或排尿过程中没有问题。所有患者对手术结果都非常满意。
■根据本研究的结果，腹腔镜RPC-IPAA是FAP和UC年轻患者并发症最少，满意度最高的手术。因此,对于上述患者来说，这种手术似乎是一种合适的手术方法。
■本横断面研究是在2009-2014年期间对20例FAP或UC行回肠袋肛门吻合术（RPC-IPAA）的恢复性直肠切除术患者进行的。记录患者术后6个月的并发症及满意度。
■男性11例（60％），女性9例（40％），平均年龄为30.65±9.59岁。有12例(60%)FAP患者和8例(40%)UC患者。住院时间（LOS）为4天至10天，平均为6.40±1.76天。并发症的发生率，包括渗漏，尿潴留,伤口感染占10%,5%,10%,分别。此外，术后无死亡。男性患者在性活动或排尿过程中没有问题。所有患者对手术结果都非常满意。
■根据本研究的结果，腹腔镜RPC-IPAA是FAP和UC年轻患者并发症最少，满意度最高的手术。因此,对于上述患者来说，这种手术似乎是一种合适的手术方法。
