Laparoscopic Versus Open Restorative Proctocolectomy for Familial Adenomatous Polyposis

Imagem de Miniatura
Arquivos
art_CAMPOS_Laparoscopic_Versus_Open_Restorative_Proctocolectomy_for_Familial_Adenomatous_2018.PDF (937.25 KB)
Citações na Scopus
15
Tipo de produção
article
Data de publicação
2018
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
MARY ANN LIEBERT, INC
Autores
MARTINEZ, Carlos Augusto Real
Citação
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES, v.28, n.1, p.47-52, 2018
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
familial adenomatous polyposis, ileal pouch anal anastomosis, postoperative complications, restorative proctocolectomy, laparoscopy
URI
https://observatorio.fm.usp.br/handle/OPI/25580
Referências
  1. Ali UA, 2009, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD006267.pub2
  2. Bartels SAL, 2012, ANN SURG, V256, P1045, DOI 10.1097/SLA.0b013e318250caa9
  3. Bartels SAL, 2012, SURG ENDOSC, V26, P368, DOI 10.1007/s00464-011-1880-1
  4. Bemelman WA, 2010, BRIT J SURG, V97, P2, DOI 10.1002/bjs.6817
  5. Benlice C, 2015, DIS COLON RECTUM, V58, P314, DOI 10.1097/DCR.0000000000000287
  6. Beyer-Berjot L, 2013, ANN SURG, V258, P275, DOI 10.1097/SLA.0b013e3182813741
  7. Campos FG, 2015, FAM CANCER, V14, P211, DOI 10.1007/s10689-014-9772-x
  8. Campos FG, 2014, WORLD J GASTROENTERO, V20, P16620, DOI 10.3748/wjg.v20.i44.16620
  9. Campos FG, 2011, SURG LAPARO ENDO PER, V21, P327, DOI 10.1097/SLE.0b013e31822b0f65
  10. Campos FG, 2013, J COLOPROCTOL, V33, P1, DOI [10.1016/j.jcol.2013.02.003, DOI 10.1016/J.JCOL.2013.02.003]
  11. Cotte E, 2011, WORLD J GASTRO SURG, V3, P177, DOI 10.4240/wjgs.v3.i11.177
  12. Dunker MS, 2001, DIS COLON RECTUM, V44, P1800, DOI 10.1007/BF02234458
  13. El-Gazzaz GS, 2009, BRIT J SURG, V96, P522, DOI 10.1002/bjs.6578
  14. Fleming FJ, 2011, DIS COLON RECTUM, V54, P176, DOI 10.1007/DCR.0b013e3181fb4232
  15. Heuschen UA, 2002, ANN SURG, V235, P207, DOI 10.1097/00000658-200202000-00008
  16. Hiranyakas A, 2013, SURG ENDOSC, V27, P90, DOI 10.1007/s00464-012-2422-1
  17. Hull TL, 2012, BRIT J SURG, V99, P270, DOI 10.1002/bjs.7759
  18. Kelly J, 2010, IRISH J MED SCI, V179, P197, DOI 10.1007/s11845-009-0399-0
  19. Kessler H, 2011, WORLD J GASTROENTERO, V17, P1116, DOI 10.3748/wjg.v17.i9.1116
  20. Kiran RP, 2010, ANN SURG, V251, P436, DOI 10.1097/SLA.0b013e3181cf8814
  21. Lovegrove RE, 2011, ARCH SURG-CHICAGO, V146, P82, DOI 10.1001/archsurg.2010.304
  22. Maartense S, 2004, ANN SURG, V240, P984, DOI 10.1097/01.sla.0000145923.03130.1c
  23. Mais V, 2014, WORLD J GASTROENTERO, V20, P4917, DOI 10.3748/wjg.v20.i17.4917
  24. Okita Y, 2015, SURG LAPARO ENDO PER, V25, P424, DOI 10.1097/SLE.0000000000000128
  25. Ouaissi M, 2008, SURG LAPARO ENDO PER, V18, P357, DOI 10.1097/SLE.0b013e3181772d75
  26. Rajaratnam SG, 2011, INT J COLORECTAL DIS, V26, P1365, DOI 10.1007/s00384-011-1274-9
  27. Schiessling S, 2013, LANGENBECK ARCH SURG, V398, P807, DOI 10.1007/s00423-013-1088-z
  28. Singh P, 2013, COLORECTAL DIS, V15, pE340, DOI 10.1111/codi.12231
  29. Tilney HS, 2007, INT J COLORECTAL DIS, V22, P531, DOI 10.1007/s00384-006-0177-7
  30. White I, 2014, BRIT J SURG, V101, P1160, DOI 10.1002/bjs.9535
  31. Zhang HF, 2007, MINIM INVASIV THER, V16, P187, DOI 10.1080/13645700701384090

Coleções
Artigos e Materiais de Revistas Científicas - FM/MGT
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/35
Artigos e Materiais de Revistas Científicas - ODS/03