Surgical trend including minimally invasive surgeries for ulcerative colitis in the COSUC study: the largest multicenter cohort study in Japan
- 12.05.2025
Erschienen in:
- Verfasst von
- Koya Hida
- Yoshiki Okita
- Yusuke Fujii
- Toru Miyake
- Yoshiaki Kuriu
- Yu Hidaka
- Tomohiro Arita
- Kiyotaka Kawaguchi
- Shingo Ochi
- Yusuke Fujita
- Kazutaka Obama
- Takeshi Naitoh
- Japan Society of Laparoscopic Colorectal Surgery
- Erschienen in
- Surgical Endoscopy | Ausgabe 6/2025
Abstract
Background
The number of patients with ulcerative colitis (UC) is increasing rapidly in Asia. No large study has evaluated the clinical outcomes of hand-sewn ileal pouch-anal anastomosis (IPAA). This study aimed to create a large database of the surgical outcomes of UC, present the trends of surgical procedures, and evaluate the impact of minimally invasive procedures on UC.
Methods
Data of patients first treated from 2005 to 2019 were collected; two-staged surgery data were extracted, and minimally invasive surgery (MIS) and open surgery (OS) outcomes were compared using propensity-score matching.
Results
The data of 1558 cases were selected as the main analysis set. The number of surgical cases of UC has been increasing, with increasing proportion of MIS cases (2005: 43%, 2019: 84%). The median age of the patients increased in these 15 years (39.5–56 years old). Of 873 patients who underwent two-staged surgery, after 3:1 matching, 408 MIS and 176 OS cases were compared. Hand-sewn anastomoses were performed in 293 MIS (72.0%) and 142 OS-IPAA (80.7%) cases. The proportion of early complications (≥ Grade 3) did not vary between the two groups. Intraoperative blood loss was lower and blood transfusions were less frequent in the MIS group.
Conclusions
The proportion of MIS for UC has rapidly increased over the past 15 years. The total number of MIS and OS complications did not vary significantly between the groups. The short-term advantages of MIS include reduced blood loss and less necessity for blood transfusions.
Graphical abstract
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- Titel
- Surgical trend including minimally invasive surgeries for ulcerative colitis in the COSUC study: the largest multicenter cohort study in Japan
- Verfasst von
-
Koya Hida
Yoshiki Okita
Yusuke Fujii
Toru Miyake
Yoshiaki Kuriu
Yu Hidaka
Tomohiro Arita
Kiyotaka Kawaguchi
Shingo Ochi
Yusuke Fujita
Kazutaka Obama
Takeshi Naitoh
Japan Society of Laparoscopic Colorectal Surgery
- Publikationsdatum
- 12.05.2025
- Verlag
- Springer US
- Erschienen in
-
Surgical Endoscopy / Ausgabe 6/2025
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218 - DOI
- https://doi.org/10.1007/s00464-025-11758-6
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