Background : Restorative proctocolectomy with ileal pouch anal anastomosis( RPC IPAA ) is gold stardard surgery for patients with ulcerative colitis. With advancement in laparoscopic surgery, now it is feasible & safe to perform RPC IPAA surgery laparoscopically.
Aim: To evaluate & compare short term results & long term functional outcome after surgery for ulcerative colitis by open & laparoscopic method.
Method: during the period of Jan 1998 to feb 2008, 64 patients(30 females, 36 males) with ulcerative colitis operated by a single surgeon. 24 patients operated laparoscopically & 42 pateints by open method. Pre operative, intra operative and post operative data collected. Follow up data collected by regular outpatient clinic as well as on telephonic questions. Long term functional outcome scored with Oresland scoring system for health related quality of life.
Results : patients who underwent laparoscopic surgery had reduced hospital stay ( mean 6.7 days ) with less wound related complications as a short term results. Long term outcome is better in laparoscopic group due to less chances of incisional hernia & reduced rate of sexual dysfunction but no difference in health related quality of life.
Conclusion : Laparoscopic surgery for ulcerative colitis is feasible and give better short term outcome in comparison to open surgery and good health related quality of life on long term basis.
Program Number: P111