LAUSR

Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the procedure of choice for patients with ulcerative colitis (UC) requiring surgery. We present herein the technical aspect of the laparoscopic approach for completion proctectomy and IPAA. We report the case of a 42-years old female patient known for a refractory to medical treatment UC for a few years who underwent a three-stage procedure: firstly a laparoscopic total abdominal colectomy with terminal ileostomy. After a satisfying clinical evolution at 3 months, a laparoscopic restorative proctectomy with IPAA was performed. We present herein the video of this procedure. The completion proctectomy was realized by a laparoscopic approach and the ileal J-pouch was created extracorporally through the stoma orifice A 18cm ileal pouch was then created and anastomosed to the anal canal. A routine diverting loop ileostomy was created. The postoperative course was uneventful. The video summarizes the different steps of the procedure and shows the technical details of a laparoscopic restorative proctectomy with IPAA.