LAPAROSCOPIC ASSISTED PROCTOCOLECTOMY WIT H ILEOANAL POUCH IN PATIENTS WITH ULCERATIVE-COLITIS

Laparoscopic assisted proctocolectomy with ileoanal pouch is a technic al alternative to the conventional open procedure. The aim of this tec hnique are better cosmetics. Mobilisation of the colon is achieved lap aroscopically. Rectal resection, J-pouch creation, and pouchanal anast omosis are performed via a Pfannenstiel incision. Laparoscopic assiste d proctocolectomy has been performed in five selected patients, three female and two male aged 17 to 36 years. Operative time ranged from 30 5 to 420 minutes. Intra-and postoperative complications were not encou ntered. Postoperative hospital stay ranged from 13 to 16 days. On a sc ale from 1 to 10 the average quality of life was graded 9 and the over all satisfaction level with the results of surgery scored 10. Function was identical to open surgery in not selected patients.