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Clin Colon Rectal Surg 2022; 35(06): 463-468
DOI: 10.1055/s-0042-1758137
Review Article

Minimally Invasive and Robotic Surgery for Ulcerative Colitis

Grace C. Lee
1   Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio
,
Anuradha R. Bhama
1   Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, Ohio
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Abstract

Significant advancements have been made over the last 30 years in the use of minimally invasive techniques for curative and restorative operations in patients with ulcerative colitis (UC). Numerous studies have demonstrated the safety and feasibility of laparoscopic and robotic approaches to subtotal colectomy (including in the urgent setting), total proctocolectomy, completion proctectomy, and pelvic pouch creation. Data show equivalent or improved short-term postoperative outcomes with minimally invasive techniques compared to open surgery, and equivalent or improved long-term bowel function, sexual function, and fertility. Overall, while minimally invasive techniques are safe and feasible for properly selected UC patients, surgeons must remember to abide by the principles of high-quality proctectomy and pouch creation and convert to open if necessary.

Keywords

laparoscopic - robotic - colectomy - proctectomy - pouch

Abbreviations

UC ulcerative colitis


IPAA ileal pouch anal anastomosis


MIS minimally invasive


IBD inflammatory bowel disease


STC subtotal colectomy


NSQIP American College of Surgeons National Surgical Quality Improvement Program


NIS Nationwide Inpatient Sample


TA stapler thoracoabdominal stapler


SMA superior mesenteric artery


Ta-IPAA transanal ileal pouch anal anastomosis


Ta-TME transanal total mesorectal excision




Publikationsverlauf

Artikel online veröffentlicht:
29. November 2022

© 2022. Thieme. All rights reserved.

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