Short-term Outcomes of Elective 2-Stage Restorative Proctocolectomy for Ulcerative Colitis in Korea: Does Laparoscopy Have Benefits?
- Authors
- Bong, Jun Woo; Yoon, Yong Sik; Lee, Jong Lyul; Kim, Chan Wook; Park, In Ja; Lim, Seok-Byung; Yu, Chang Sik; Kim, 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.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 2. Clinical Science > Department of Colon and Rectal Surgery > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.