Laparoscopic Versus Open Restorative Proctocolectomy for Familial Adenomatous Polyposis
dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | CAMPOS, Fabio Guilherme | |
dc.contributor.author | MARTINEZ, Carlos Augusto Real | |
dc.contributor.author | CAMARGO, Mariane Gouveia Monteiro de | |
dc.contributor.author | CESCONETTO, Daniele Menezes | |
dc.contributor.author | NAHAS, Sergio Carlos | |
dc.contributor.author | CECCONELLO, Ivan | |
dc.date.accessioned | 2018-03-06T15:16:26Z | |
dc.date.available | 2018-03-06T15:16:26Z | |
dc.date.issued | 2018 | |
dc.description.abstract | Purpose: This study compared outcomes after laparoscopic (LAP) or conventional (open) total proctocolectomy with outcomes after ileal J-pouch anal anastomosis (IPAA) at a single institution. Methods: Charts from 133 familial adenomatous polyposis patients (1997-2013) were reviewed. Demographic data (age, sex, color, American Society of Anesthesiologists [ASA] status, previous surgery, and body mass index) and surgical outcomes (length of stay, early and late morbidity, reoperation, and mortality rates) were compared among 63 patients undergoing IPAA. Results: Demographic features were similar among patients (25 open and 38 LAP). Conversely, colorectal cancer at diagnosis prevailed in the open group (60% versus 31.6%; P=.02). Tumor stages (P=.65) and previous surgery index (20% versus 10.5%; P=.46) were similar. Surgical length was longer for LAP (374 versus 281 minutes, P=.003). Short-term complication rates (28% versus 28.9%), hospital stay (10.9 versus 8.9 days), and total long-term reoperations (28% versus 21%) were not statistically different. However, major late morbidity (16% versus 2.6%; P<.001) and late reoperation rates (16% versus 5.2%; P<.05) were greater among open patients. Both groups did not differ regarding pouch failure rates (8% versus 5.2%). There was no operative mortality in the present series. Conclusions: (1) LAP IPAA is a safe procedure associated with a low conversion rate, (2) short-term results showed no clear advantages for both approaches, and (3) a greater risk of major late complications and late reoperations should be expected after open procedures. | |
dc.description.index | MEDLINE | |
dc.identifier.citation | JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.28, n.1, p.47-52, 2018 | |
dc.identifier.doi | 10.1089/lap.2017.0397 | |
dc.identifier.eissn | 1557-9034 | |
dc.identifier.issn | 1092-6429 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/25580 | |
dc.language.iso | eng | |
dc.publisher | MARY ANN LIEBERT, INC | |
dc.relation.ispartof | Journal of Laparoendoscopic & Advanced Surgical Techniques | |
dc.rights | restrictedAccess | |
dc.rights.holder | Copyright MARY ANN LIEBERT, INC | |
dc.subject | familial adenomatous polyposis | |
dc.subject | ileal pouch anal anastomosis | |
dc.subject | postoperative complications | |
dc.subject | restorative proctocolectomy | |
dc.subject | laparoscopy | |
dc.subject.other | pouch-anal anastomosis | |
dc.subject.other | ulcerative-colitis | |
dc.subject.other | septic complications | |
dc.subject.other | ileal | |
dc.subject.other | surgery | |
dc.subject.other | outcomes | |
dc.subject.other | adhesions | |
dc.subject.other | colectomy | |
dc.subject.other | hernia | |
dc.subject.other | trial | |
dc.subject.wos | Surgery | |
dc.title | Laparoscopic Versus Open Restorative Proctocolectomy for Familial Adenomatous Polyposis | |
dc.type | article | |
dc.type.category | original article | |
dc.type.version | publishedVersion | |
dspace.entity.type | Publication | |
hcfmusp.author.external | MARTINEZ, Carlos Augusto Real:Univ Estadual Campinas, Colorectal Surg Div, Sao Paulo, Brazil | |
hcfmusp.citation.scopus | 15 | |
hcfmusp.contributor.author-fmusphc | FABIO GUILHERME CASERTA MARYSSAEL DE CAMPOS | |
hcfmusp.contributor.author-fmusphc | MARIANE GOUVEA MONTEIRO DE CAMARGO | |
hcfmusp.contributor.author-fmusphc | DANIELLE MENEZES CESCONETTO | |
hcfmusp.contributor.author-fmusphc | SERGIO CARLOS NAHAS | |
hcfmusp.contributor.author-fmusphc | IVAN CECCONELLO | |
hcfmusp.description.beginpage | 47 | |
hcfmusp.description.endpage | 52 | |
hcfmusp.description.issue | 1 | |
hcfmusp.description.volume | 28 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.pubmed | 29125801 | |
hcfmusp.origem.scopus | 2-s2.0-85040650010 | |
hcfmusp.origem.wos | WOS:000416463300001 | |
hcfmusp.publisher.city | NEW ROCHELLE | |
hcfmusp.publisher.country | USA | |
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hcfmusp.scopus.lastupdate | 2024-05-10 | |
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