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Clin Colon Rectal Surg 2022; 35(02): 135-140
DOI: 10.1055/s-0041-1742114
Review Article

Indications and Surgical Technique for Transanal Proctectomy and Ileal Pouch–Anal Anastomosis for Inflammatory Bowel Disease

Andrew Yuen
1   Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
,
Mantaj S. Brar
1   Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
,
Anthony de Buck van Overstraeten
1   Department of Surgery, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada
› Institutsangaben Funding None.
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Abstract

Surgical management of inflammatory bowel disease has advanced significantly over the years. One particular focus of its evolution has been to minimize invasiveness. Transanal surgery has given the contemporary surgeon an alternate approach to access the low rectum situated in the confines of the deep pelvis. In benign disease, combining transanal surgery with laparoscopy has allowed for the development of novel techniques to create ileal pouch–anal anastomoses, perform intersphincteric Crohn's proctectomies, manage complications from pelvic surgery, and facilitate redo pelvic surgery. We aim to review the indications for transanal surgery in benign disease, describe an approach to transanal pouch surgery in detail, and discuss the potential benefits, pitfalls, and contentious issues surrounding this approach.

Keywords

transanal - ileal pouch–anal anastomosis - proctectomy - inflammatory bowel disease - close rectal dissection


Publikationsverlauf

Artikel online veröffentlicht:
28. Februar 2022

© 2022. Thieme. All rights reserved.

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  • References

  • 1 Marks JH, Montenegro GA, Salem JF, Shields MV, Marks GJ. Transanal TATA/TME: a case-matched study of taTME versus laparoscopic TME surgery for rectal cancer. Tech Coloproctol 2016; 20 (07) 467-473
    CrossrefPubMedGoogle Scholar
  • 2 Zaghiyan K, Warusavitarne J, Spinelli A, Chandrasinghe P, Di Candido F, Fleshner P. Technical variations and feasibility of transanal ileal pouch-anal anastomosis for ulcerative colitis and inflammatory bowel disease unclassified across continents. Tech Coloproctol 2018; 22 (11) 867-873
    CrossrefPubMedGoogle Scholar
  • 3 de Buck van Overstraeten A, Wolthuis AM, D'Hoore A. Transanal completion proctectomy after total colectomy and ileal pouch-anal anastomosis for ulcerative colitis: a modified single stapled technique. Colorectal Dis 2016; 18 (04) O141-O144
    CrossrefPubMedGoogle Scholar
  • 4 Parks AG, Nicholls RJ. Proctocolectomy without ileostomy for ulcerative colitis. BMJ 1978; 2 (6130): 85-88
    CrossrefPubMedGoogle Scholar
  • 5 Fajardo AD, Dharmarajan S, George V. et al. Laparoscopic versus open 2-stage ileal pouch: laparoscopic approach allows for faster restoration of intestinal continuity. J Am Coll Surg 2010; 211 (03) 377-383
    CrossrefPubMedGoogle Scholar
  • 6 Bartels SAL, Gardenbroek TJ, Aarts M. et al. Short-term morbidity and quality of life from a randomized clinical trial of close rectal dissection and total mesorectal excision in ileal pouch-anal anastomosis. Br J Surg 2015; 102 (03) 281-287
    CrossrefPubMedGoogle Scholar
  • 7 Bartels SAL, Vlug MS, Henneman D, Ponsioen CY, Tanis PJ, Bemelman WA. Less adhesiolysis and hernia repair during completion proctocolectomy after laparoscopic emergency colectomy for ulcerative colitis. Surg Endosc 2012; 26 (02) 368-373
    CrossrefPubMedGoogle Scholar
  • 8 Bartels SAL, Gardenbroek TJ, Ubbink DT, Buskens CJ, Tanis PJ, Bemelman WA. Systematic review and meta-analysis of laparoscopic versus open colectomy with end ileostomy for non-toxic colitis. Br J Surg 2013; 100 (06) 726-733
    CrossrefPubMedGoogle Scholar
  • 9 Bartels SAL, DʼHoore A, Cuesta MA, Bensdorp AJ, Lucas C, Bemelman WA. Significantly increased pregnancy rates after laparoscopic restorative proctocolectomy: a cross-sectional study. Ann Surg 2012; 256 (06) 1045-1048
    CrossrefPubMedGoogle Scholar
  • 10 Dunker MS, Bemelman WA, Slors JFM, van Duijvendijk P, Gouma DJ. Functional outcome, quality of life, body image, and cosmesis in patients after laparoscopic-assisted and conventional restorative proctocolectomy: a comparative study. Dis Colon Rectum 2001; 44 (12) 1800-1807
    CrossrefPubMedGoogle Scholar
  • 11 Eshuis EJ, Slors JFM, Stokkers PCF. et al. Long-term outcomes following laparoscopically assisted versus open ileocolic resection for Crohn's disease. Br J Surg 2010; 97 (04) 563-568
    CrossrefPubMedGoogle Scholar
  • 12 Wolthuis AM, Meuleman C, Tomassetti C. et al. How do patients score cosmesis after laparoscopic natural orifice specimen extraction colectomy?. Colorectal Dis 2015; 17 (06) 536-541
    CrossrefPubMedGoogle Scholar
  • 13 Penna M, Hompes R, Arnold S. et al; TaTME Registry Collaborative. Transanal total mesorectal excision: international registry results of the first 720 cases. Ann Surg 2017; 266 (01) 111-117
    CrossrefPubMedGoogle Scholar
  • 14 de Buck van Overstraeten A, Mark-Christensen A, Wasmann KA. et al. Transanal versus transabdominal minimally invasive (completion) proctectomy with ileal pouch-anal anastomosis in ulcerative colitis: a comparative study. Ann Surg 2017; 266 (05) 878-883
    CrossrefPubMedGoogle Scholar
  • 15 Øresland T, Bemelman WA, Sampietro GM. et al; European Crohn's and Colitis Organisation (ECCO). European evidence based consensus on surgery for ulcerative colitis. J Crohn's Colitis 2015; 9 (01) 4-25
    CrossrefPubMedGoogle Scholar
  • 16 Lindsey I, George BD, Kettlewell MGW, Mortensen NJMC. Impotence after mesorectal and close rectal dissection for inflammatory bowel disease. Dis Colon Rectum 2001; 44 (06) 831-835
    CrossrefPubMedGoogle Scholar
  • 17 Hicks CW, Hodin RA, Savitt L, Bordeianou L. Does intramesorectal excision for ulcerative colitis impact bowel and sexual function when compared with total mesorectal excision?. Am J Surg 2014; 208 (04) 499-504.e4
    CrossrefPubMedGoogle Scholar
  • 18 Rink AD, Radinski I, Vestweber KH. Does mesorectal preservation protect the ileoanal anastomosis after restorative proctocolectomy?. J Gastrointest Surg 2009; 13 (01) 120-128
    CrossrefPubMedGoogle Scholar
  • 19 Roumen RM, Rahusen FT, Wijnen MH, Croiset van Uchelen FA. “Dog ear” formation after double-stapled low anterior resection as a risk factor for anastomotic disruption. Dis Colon Rectum 2000; 43 (04) 522-525
    CrossrefPubMedGoogle Scholar
  • 20 Levic Souzani K, Nielsen CB, Bulut O. Transanal completion proctectomy with close rectal dissection and ileal pouch-anal anastomosis for ulcerative colitis. Asian J Endosc Surg 2019; 12 (03) 281-286
    CrossrefPubMedGoogle Scholar
  • 21 Chandrasinghe P, Carvello M, Wasmann K. et al. Transanal ileal pouch-anal anastomosis for ulcerative colitis has comparable long-term functional outcomes to transabdominal approach: a multicentre comparative study. J Crohn's Colitis 2020; 14 (06) 726-733
    CrossrefPubMedGoogle Scholar
  • 22 Karakayali FY, Tezcaner T, Moray G. Anorectal function and outcomes after transanal minimally invasive surgery for rectal tumors. J Minim Access Surg 2015; 11 (04) 257-262
    CrossrefPubMedGoogle Scholar
  • 23 Marinello FG, Curell A, Tapiolas I, Pellino G, Vallribera F, Espin E. Systematic review of functional outcomes and quality of life after transanal endoscopic microsurgery and transanal minimally invasive surgery: a word of caution. Int J Colorectal Dis 2020; 35 (01) 51-67
    CrossrefPubMedGoogle Scholar
  • 24 Allaix ME, Rebecchi F, Giaccone C, Mistrangelo M, Morino M. Long-term functional results and quality of life after transanal endoscopic microsurgery. Br J Surg 2011; 98 (11) 1635-1643
    CrossrefPubMedGoogle Scholar
  • 25 Tekkis PP, Fazio VW, Lavery IC. et al. Evaluation of the learning curve in ileal pouch-anal anastomosis surgery. Ann Surg 2005; 241 (02) 262-268
    CrossrefPubMedGoogle Scholar
  • 26 Magro F, Gionchetti P, Eliakim R. et al; European Crohn's and Colitis Organisation [ECCO]. Third European evidence-based consensus on diagnosis and management of ulcerative colitis. Part 1: definitions, diagnosis, extra-intestinal manifestations, pregnancy, cancer surveillance, surgery, and ileo-anal pouch disorders. J Crohn's Colitis 2017; 11 (06) 649-670
    CrossrefPubMedGoogle Scholar
  • 27 Lee L, Kelly J, Nassif GJ, deBeche-Adams TC, Albert MR, Monson JRT. Defining the learning curve for transanal total mesorectal excision for rectal adenocarcinoma. Surg Endosc 2020; 34 (04) 1534-1542
    CrossrefPubMedGoogle Scholar
  • 28 McDermott FD, Heeney A, Kelly ME, Steele RJ, Carlson GL, Winter DC. Systematic review of preoperative, intraoperative and postoperative risk factors for colorectal anastomotic leaks. Br J Surg 2015; 102 (05) 462-479
    CrossrefPubMedGoogle Scholar
  • 29 Van Koperen PJ, Van Berge Henegouwen MI, Slors JFM, Bemelman WA. Endo-sponge treatment of anastomotic leakage after ileo-anal pouch anastomosis: report of two cases. Colorectal Dis 2008; 10 (09) 943-944
    CrossrefPubMedGoogle Scholar
  • 30 Gardenbroek TJ, Musters GD, Buskens CJ. et al. Early reconstruction of the leaking ileal pouch-anal anastomosis: a novel solution to an old problem. Colorectal Dis 2015; 17 (05) 426-432
    CrossrefPubMedGoogle Scholar
  • 31 Borstlap WAA, Musters GD, Stassen LPS. et al. Vacuum-assisted early transanal closure of leaking low colorectal anastomoses: the CLEAN study. Surg Endosc 2018; 32 (01) 315-327
    CrossrefPubMedGoogle Scholar
  • 32 Wasmann KA, Reijntjes MA, Stellingwerf ME. et al. Endo-sponge assisted early surgical closure of ileal pouch-anal anastomotic leakage preserves long-term function: a cohort study. J Crohn's Colitis 2019; 13 (12) 1537-1545
    CrossrefPubMedGoogle Scholar
  • 33 Lightner AL, Dattani S, Dozois EJ, Moncrief SB, Pemberton JH, Mathis KL. Pouch excision: indications and outcomes. Colorectal Dis 2017; 19 (10) 912-916
    CrossrefPubMedGoogle Scholar
  • 34 Caycedo-Marulanda A, Ma G. TAMIS J-pouch excision. Tech Coloproctol 2018; 22 (12) 985-986
    CrossrefPubMedGoogle Scholar
  • 35 Borstlap WAA, Harran N, Tanis PJ, Bemelman WA. Feasibility of the TAMIS technique for redo pelvic surgery. Surg Endosc 2016; 30 (12) 5364-5371
    CrossrefPubMedGoogle Scholar
  • 36 Yassin NA, Foppa C, Clerico G, Carvello M, Sacchi M, Spinelli A. Laparoscopic pouch excision combined with intersphincteric resection. Dis Colon Rectum 2019; 62 (11) 1403
    CrossrefPubMedGoogle Scholar