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Laparoscopic total abdominal colectomy as first step of three-stage surgical treatment of ulcerative colitis: a systematic approach

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Laparoscopy is a safe approach for surgical treatment of ulcerative colitis (UC), with good short-term outcomes [1, 2]. Long-term advantages of this minimally invasive technique are a reduction in adhesion… Click to show full abstract

Laparoscopy is a safe approach for surgical treatment of ulcerative colitis (UC), with good short-term outcomes [1, 2]. Long-term advantages of this minimally invasive technique are a reduction in adhesion formation, lower rates of infertility and less incisional hernias [3, 4]. Using a systematic approach allows for a standard teaching method for academic institutions and trainees. The attached video shows a systematic approach to laparoscopic total abdominal colectomy (LTC) in a UC patient as step 1 of a 3-step approach, which is followed by laparoscopic completion proctectomy and pouch creation as step 2, and closure of diverting loop ileostomy as step 3.

Keywords: surgical treatment; step; systematic approach; ulcerative colitis; treatment ulcerative; approach

Journal Title: Techniques in Coloproctology
Year Published: 2019

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