What is the benefit of the laparoscopic approach to restorative proctocolectomy? a comparative study

Restorative proctocolectomy (RPC)is one of the more complex operations in colon and rectal surgery.It has evolved extensively and the most recent controversy is the adoption of the laparoscopic approach.There is limited short-term data comparing the open and laparoscopic approach for RPC.This is a comparative study for the short-term outcomes and impact on closure of loop ileostomy for subjects who underwent laparoscopic restorative proctocolectomy with ileoanal pouch(L-IPAA)or open(O-IPAA)Methods:Retrospective analysis of 108 subjects who underwent elective two stage RPC by a laparoscopic or open approach between 1999 and 2007.Demographic data and perioperative data was collectedResults:43 cases of L-IPAA and 65 cases of O-IPAA were reviewed.There was no difference in age,sex,indication for surgery,or steroid use and dosage for the two groups.The open group had a higher BMI(27.1 vs 24.4)(p=0.0487)For the first stage of surgery,the operative time was significantly longer in the L-IPAA group (259min vs 188min p

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Program Number: P114

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