nach oben

International Journal of Clinical Oncology

Erschienen in:

19.04.2016 | Original Article

Feasibility of laparoscopic total proctocolectomy with ileal pouch–anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: results of a nationwide multicenter study

verfasst von: Tsuyoshi Konishi, Hideyuki Ishida, Hideki Ueno, Hirotoshi Kobayashi, Takao Hinoi, Yasuhiro Inoue, Fumio Ishida, Yukihide Kanemitsu, Tatsuro Yamaguchi, Naohiro Tomita, Nagahide Matsubara, Toshiaki Watanabe, Kenichi Sugihara

Erschienen in: International Journal of Clinical Oncology | Ausgabe 5/2016

Einloggen, um Zugang zu erhalten

Abstract

Background

Data supporting the safety and feasibility of laparoscopic total proctocolectomy with ileal pouch–anal anastomosis (TPC-IPAA) and total colectomy with ileorectal anastomosis (TC-IRA) for patients with familial adenomatous polyposis (FAP) are limited. The aim of this study was to clarify the feasibility and morbidity of laparoscopic TPC-IPAA and TC-IRA for patients with FAP, using a large Japanese multicenter dataset.

Methods

Data on 256 patients with FAP who underwent TPC-IPAA (n = 171) or TC-IRA (n = 85) at 23 institutions between the years 2000 and 2012 were collected. Short- and long-term clinical outcomes were compared between laparoscopic and open approaches for each procedure.

Results

Among the 256 patients with FAP, a total of 126 patients underwent laparoscopic surgery, consisting of 74 laparoscopic TPC-IPAAs and 52 laparoscopic TC-IRAs. The proportion of the FAP patients who underwent laparoscopic surgery increased during the study period, reaching 79 % of all TPC-IPAAs and 82 % of all TC-IRAs in the final two years covered by the data. In both TPC-IPAA and TC-IRA, the laparoscopic approach was associated with a longer operative duration but a similarly low postoperative morbidity and comparably adequate anal function compared with the open approach. The overall survival and the incidence of desmoid tumor were also comparable between the laparoscopic and open approaches in both procedures.

Conclusions

Laparoscopic TPC-IPAA and TC-IRA are both feasible options—with low rates of morbidity, good functional outcomes, and excellent overall survival rates—in patients with FAP. Since the data indicate that laparoscopic TPC-IPAA and TC-IRA are feasible, they also support the recent increase in laparoscopic surgery for patients with FAP in Japan.

Casillas S, Delaney CP (2005) Laparoscopic surgery for inflammatory bowel disease. Dig Surg 22(3):135–142CrossRefPubMed

Ky AJ, Sonoda T, Milsom JW (2002) One-stage laparoscopic restorative proctocolectomy: an alternative to the conventional approach? Dis Colon Rectum 45(2):207–210CrossRefPubMed

Peters WR (1992) Laparoscopic total proctocolectomy with creation of ileostomy for ulcerative colitis: report of two cases. J Laparoendosc Surg 2(3):175–178CrossRefPubMed

Santoro E, Carlini M, Carboni F et al (1999) Laparoscopic total proctocolectomy with ileal J pouch-anal anastomosis. Hepatogastroenterology 46(26):894–899PubMed

Wexner SD, Johansen OB, Nogueras JJ et al (1992) Laparoscopic total abdominal colectomy. A prospective trial. Dis Colon Rectum 35(7):651–655CrossRefPubMed

Ahmed Ali U, Keus F, Heikens JT et al (2009) Open versus laparoscopic (assisted) ileo pouch anal anastomosis for ulcerative colitis and familial adenomatous polyposis. Cochrane Database Syst Rev (1):CD006267

Reissman P, Salky BA, Pfeifer J et al (1996) Laparoscopic surgery in the management of inflammatory bowel disease. Am J Surg 171(1):47–50CrossRefPubMed

Sardinha TC, Wexner SD (1998) Laparoscopy for inflammatory bowel disease: pros and cons. World J Surg 22(4):370–374CrossRefPubMed

Schmitt SL, Cohen SM, Wexner SD et al (1994) Does laparoscopic-assisted ileal pouch anal anastomosis reduce the length of hospitalization? Int J Colorectal Dis 9(3):134–137CrossRefPubMed

10.

Tilney HS, Lovegrove RE, Heriot AG et al (2007) Comparison of short-term outcomes of laparoscopic vs open approaches to ileal pouch surgery. Int J Colorectal Dis 22(5):531–542CrossRefPubMed

11.

Gill TS, Karantana A, Rees J et al (2004) Laparoscopic proctocolectomy with restorative ileal-anal pouch. Colorectal Dis 6(6):458–461CrossRefPubMed

12.

Larson DW, Cima RR, Dozois EJ et al (2006) Safety, feasibility, and short-term outcomes of laparoscopic ileal-pouch-anal anastomosis: a single institutional case-matched experience. Ann Surg 243(5):667–670CrossRefPubMedPubMedCentral

13.

Marcello PW, Milsom JW, Wong SK et al (2000) Laparoscopic restorative proctocolectomy: case-matched comparative study with open restorative proctocolectomy. Dis Colon Rectum 43(5):604–608CrossRefPubMed

14.

El-Gazzaz GS, Kiran RP, Remzi FH et al (2009) Outcomes for case-matched laparoscopically assisted versus open restorative proctocolectomy. Br J Surg 96(5):522–526CrossRefPubMed

15.

Heise CP, Kennedy G, Foley EF et al (2008) Laparoscopic restorative proctocolectomy with ileal S-pouch. Dis Colon Rectum 51(12):1790–1794CrossRefPubMed

16.

Polle SW, van Berge Henegouwen MI, Slors JF et al (2008) Total laparoscopic restorative proctocolectomy: are there advantages compared with the open and hand-assisted approaches? Dis Colon Rectum 51(5):541–548CrossRefPubMedPubMedCentral

17.

Sylla P, Chessin DB, Gorfine SR et al (2009) Evaluation of one-stage laparoscopic-assisted restorative proctocolectomy at a specialty center: comparison with the open approach. Dis Colon Rectum 52(3):394–399CrossRefPubMed

18.

Zhang H, Hu S, Zhang G et al (2007) Laparoscopic versus open proctocolectomy with ileal pouch-anal anastomosis. Minim Invasive Ther Allied Technol 16(3):187–191CrossRefPubMed

19.

Ueno H, Kobayashi H, Konishi T et al (2016) Prevalence of laparoscopic surgical treatment and its clinical outcomes in patients with familial adenomatous polyposis in Japan. Int J Clin Oncol (in press)

20.

Konishi T, Watanabe T, Kishimoto J et al (2007) Prognosis and risk factors of metastasis in colorectal carcinoids: results of a nationwide registry over 15 years. Gut 56(6):863–868CrossRefPubMedPubMedCentral

21.

Konishi T, Watanabe T, Muto T et al (2006) Difference in incidence of colorectal cancer between men and women in Asia. Lancet Oncol 7(2):104–105CrossRefPubMed

22.

Ishida H, Iwama T, Tomita N et al (2014) Diagnosis and management of hereditary colorectal cancer according to the JSCCR Guidelines 2012 for the Clinical Practice of Hereditary Colorectal Cancer. Nihon Rinsho 72(1):143–149PubMed

23.

Watanabe T, Itabashi M, Shimada Y et al (2015) Japanese Society for Cancer of the Colon and Rectum (JSCCR) guidelines 2014 for treatment of colorectal cancer. Int J Clin Oncol 20(2):207–239CrossRefPubMedPubMedCentral

24.

Palanivelu C, Jani K, Sendhilkumar K et al (2008) Laparoscopic restorative total proctocolectomy with ileal pouch anal anastomosis for familial adenomatous polyposis. JSLS 12(3):256–261PubMedPubMedCentral

25.

Chen KY, Xiang GA, Wang HN et al (2007) Total colectomy and proctocolectomy under laparoscopic for familial adenomatous polyposis. Zhonghua Yi Xue Za Zhi 87(13):913–915PubMed

26.

Milsom JW, Ludwig KA, Church JM et al (1997) Laparoscopic total abdominal colectomy with ileorectal anastomosis for familial adenomatous polyposis. Dis Colon Rectum 40(6):675–678CrossRefPubMed

27.

Campos FG, Araujo SE, Melani AG et al (2011) Surgical outcomes of laparoscopic colorectal resections for familial adenomatous polyposis. Surg Laparosc Endosc Percutan Tech 21(5):327–333CrossRefPubMed

28.

Pokala N, Delaney CP, Senagore AJ et al (2005) Laparoscopic vs open total colectomy: a case-matched comparative study. Surg Endosc 19(4):531–535CrossRefPubMed

29.

Fazio VW, Kiran RP, Remzi FH et al (2013) Ileal pouch anal anastomosis: analysis of outcome and quality of life in 3707 patients. Ann Surg 257(4):679–685CrossRefPubMed

30.

de Zeeuw S, Ahmed Ali U, Donders RA et al (2012) Update of complications and functional outcome of the ileo-pouch anal anastomosis: overview of evidence and meta-analysis of 96 observational studies. Int J Colorectal Dis 27(7):843–853CrossRefPubMedPubMedCentral

31.

Meagher AP, Farouk R, Dozois RR et al (1998) J ileal pouch-anal anastomosis for chronic ulcerative colitis: complications and long-term outcome in 1310 patients. Br J Surg 85(6):800–803CrossRefPubMed

32.

Cohen G, Feder-Elituv R, Iazetta J et al (1998) Phase 2 studies of adenosine cardioplegia. Circulation 98(Suppl 19):II225–II233

33.

Laurent C, Leblanc F, Bretagnol F et al (2008) Long-term wound advantages of the laparoscopic approach in rectal cancer. Br J Surg 95(7):903–908CrossRefPubMed

34.

Rosin D, Zmora O, Hoffman A et al (2007) Low incidence of adhesion-related bowel obstruction after laparoscopic colorectal surgery. J Laparoendosc Adv Surg Tech A 17(5):604–607CrossRefPubMed

35.

Hull TL, Joyce MR, Geisler DP et al (2012) Adhesions after laparoscopic and open ileal pouch-anal anastomosis surgery for ulcerative colitis. Br J Surg 99(2):270–275CrossRefPubMed

36.

Bartels SA, Vlug MS, Henneman D et al (2012) Less adhesiolysis and hernia repair during completion proctocolectomy after laparoscopic emergency colectomy for ulcerative colitis. Surg Endosc 26(2):368–373CrossRefPubMed

37.

Benlice C, Stocchi L, Costedio M et al (2015) Laparoscopic IPAA is not associated with decreased rates of incisional hernia and small-bowel obstruction when compared with open technique: long-term follow-up of a case-matched study. Dis Colon Rectum 58(3):314–320CrossRefPubMed

38.

Sinha A, Tekkis PP, Neale KF et al (2010) Risk factors predicting intra-abdominal desmoids in familial adenomatous polyposis: a single centre experience. Tech Coloproctol 14(2):141–146CrossRefPubMed

39.

Araki Y, Isomoto H, Tsuzi Y et al (1998) Clinical aspects of total colectomy—laparoscopic versus open technique for familial adenomatous polyposis and ulcerative colitis. Kurume Med J 45(2):203–207

40.

Kennedy GD, Heise C, Rajamanickam V et al (2009) Laparoscopy decreases postoperative complication rates after abdominal colectomy: results from the National Surgical Quality Improvement Program. Ann Surg 249(4):596–601

41.

Vitellaro M, Sala P, Signoroni S et al (2014) Risk of desmoid tumours after open and laparoscopic colectomy in patients with familial adenomatous polyposis. Br J Surg 101(5):558–565CrossRefPubMed

42.

Rodriguez-Bigas MA, Mahoney MC, Karakousis CP et al (1994) Desmoid tumors in patients with familial adenomatous polyposis. Cancer 74(4):1270–1274CrossRefPubMed

43.

Erkek AB, Church JM, Remzi FH (2007) Age-related analysis of functional outcome and quality of life after restorative proctocolectomy and ileal pouch-anal anastomosis for familial adenomatous polyposis. J Gastroenterol Hepatol 22(5):710–714CrossRefPubMed

44.

Harnoy Y, Desfourneaux V, Bouguen G et al (2016) Sexuality and fertility outcomes after hand sewn versus stapled ileal pouch anal anastomosis for ulcerative colitis. J Surg Res 200(1):66–72CrossRefPubMed

45.

Kjaer MD, Laursen SB, Qvist N et al (2014) Sexual function and body image are similar after laparoscopy-assisted and open ileal pouch-anal anastomosis. World J Surg 38(9):2460–2465CrossRefPubMed

Titel: Feasibility of laparoscopic total proctocolectomy with ileal pouch–anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: results of a nationwide multicenter study
verfasst von: Tsuyoshi Konishi
Hideyuki Ishida
Hideki Ueno
Hirotoshi Kobayashi
Takao Hinoi
Yasuhiro Inoue
Fumio Ishida
Yukihide Kanemitsu
Tatsuro Yamaguchi
Naohiro Tomita
Nagahide Matsubara
Toshiaki Watanabe
Kenichi Sugihara
Publikationsdatum: 19.04.2016
Verlag: Springer Japan
Erschienen in: International Journal of Clinical Oncology / Ausgabe 5/2016
Print ISSN: 1341-9625
Elektronische ISSN: 1437-7772
DOI: https://doi.org/10.1007/s10147-016-0977-x

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Feasibility of laparoscopic total proctocolectomy with ileal pouch–anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: results of a nationwide multicenter study