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Cited 4 time in webofscience Cited 4 time in scopus
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Short-term Outcomes of Elective 2-Stage Restorative Proctocolectomy for Ulcerative Colitis in Korea: Does Laparoscopy Have Benefits?

Authors
Bong, Jun WooYoon, Yong SikLee, Jong LyulKim, Chan WookPark, In JaLim, Seok-ByungYu, Chang SikKim, Jin Cheon
Issue Date
Feb-2020
Publisher
KOREAN SOC COLOPROCTOLOGY
Keywords
Ulcerative colitis; Laparoscopy; Restorative proctocolectomy; Treatment outcomes
Citation
ANNALS OF COLOPROCTOLOGY, v.36, no.1, pp 41 - 47
Pages
7
Indexed
SCOPUS
ESCI
KCI
Journal Title
ANNALS OF COLOPROCTOLOGY
Volume
36
Number
1
Start Page
41
End Page
47
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/49390
DOI
10.3393/ac.2019.03.29
ISSN
2287-9714
2287-9722
Abstract
Purpose: This study aimed to compare the short-term outcomes of the open and laparoscopic approaches to 2-stage restorative proctocolectomy (RPC) for Korean patients with ulcerative colitis (UC). Methods: We retrospectively analyzed the medical records of 73 patients with UC who underwent elective RPC between 2009 and 2016. Patient characteristics, operative details, and postoperative complications within 30 days were compared between the open and laparoscopic groups. Results: There were 26 cases (36%) in the laparoscopic group, which had a lower mean body mass index (P = 0.025), faster mean time to recovery of bowel function (P = 0.004), less intraoperative blood loss (P = 0.004), and less pain on the first and seventh postoperative days (P = 0.029 and P = 0.027, respectively) compared to open group. There were no deaths, and the overall complication rate was 43.8%. There was no between-group difference in the overall complication rate; however, postoperative ileus was more frequent in the open group (27.7% vs. 7.7%, P = 0.043). Current smoking (odds ratio [OR], 44.4; P = 0.003) and open surgery (OR, 5.4; P = 0.014) were the independent risk factors for postoperative complications after RPC. Conclusion: Laparoscopic RPC was associated with acceptable morbidity and faster recovery than the open approach. The laparoscopic approach is a feasible and safe option for surgical treatment for UC in selective cases.
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Bong, Jun Woo
Guro Hospital (Department of Colon and Rectal Surgery, Guro Hospital)
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