학술논문

Double single-port transanal pouch surgery: a novel technique for rectal excision and ileo-anal pouch anastomosis for ulcerative colitis
Document Type
article
Source
Journal of Coloproctology (Rio de Janeiro). December 2017 37(4)
Subject
Colitis ulcerative
Rectum
Minimally invasive surgical procedures
Language
English
ISSN
2237-9363
Abstract
Surgery for ileoanal pouch has evolved dramatically over the last 30 years. Many of the advances relate to minimally invasive approaches that not only offer cosmetic benefits but also have advantages that are well described in the literature. In this technical note, the authors describe the double single-port transanal pouch operation. An abdominal single-port is used for total colectomy, at the site of the ileostomy. A transanal single-port is used for the ‘bottom-up’ rectal resection. The technical steps and potential advantages of the technique are discussed in detail. Double single-port transanal pouch surgery is technically feasible and can have significant benefits in ulcerative colitis patients.