Reduced-port laparoscopic restorative proctocolectomy without diverting ileostomy

Takashi Ueki, Tatsuya Manabe, Kinuko Nagayoshi, Kosuke Yanai, Taiki Moriyama, Shuji Shimizu, Masao Tanaka

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


INTRODUCTION: We introduced a reduced-port procedure for laparoscopic restorative proctocolectomy without diverting ileostomy for patients with familial adenomatous polyposis and ulcerative colitis.

MATERIALS AND SURGICAL TECHNIQUE: A multichannel port was inserted through a 2.5-cm umbilical incision. A 12-mm port in the right lower abdomen and a 3- or 5-mm port were also employed. A proctocolectomy was performed intracorporeally, and the entire colon and rectum were delivered through the umbilical incision. An ileal J-pouch was made extracorporeally following division of the mesenteric vessels. Ileal j-pouch-anal anastomosis was performed intracorporeally or transanally after rectal mucosectomy. A drain was inserted through the 12-mm port incision, and a transanal decompression tube was placed in the pouch. Two women and one man underwent this surgery, and their postoperative recovery was uneventful.

DISCUSSION: Laparoscopic restorative proctocolectomy without a diverting stoma by a reduced-port technique is feasible and provides excellent cosmetic outcomes in selected patients.

Original languageEnglish
Pages (from-to)487-490
Number of pages4
JournalAsian journal of endoscopic surgery
Issue number4
Publication statusPublished - Nov 1 2015

All Science Journal Classification (ASJC) codes

  • Medicine(all)


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