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Laparoscopic proctectomy with ileoanal anastomosis for inflammatory bowel disease

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2009;09(03). URL: http://websurg.com/doi/vd01en2509

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  • 2009-03-12
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Total coloproctectomy with ileal pouch-anal anastomosis is the operation of choice for ulcerative colitis. The objective of this video is to demonstrate the technique used to perform a laparoscopic coloproctectomy for the treatment of inflammatory bowel disease (and particularly, ulcerative colitis) and to show the ileoanal anastomosis (with creation of an ileal J-pouch) that follows a total colectomy resection. In this case, only sample exteriorization and ileal J-pouch formation are performed using the temporary ileostomy opening situated in the right flank. All other steps are performed entirely laparoscopically. The dissection is carried out using the 10mm Ligasure Atlas device.