Functional outcomes in laparoscopic-assisted ileal pouch-anal anastomosis have been incompletely studied.
More than 1-year follow-up has rarely been reported in these patients.
Dr David Larson and colleagues assessed patients with ulcerative colitis or familial adenomatous polyposis a minimum of 1 year after.
The investigators evaluated operative, functional, and quality of life outcomes in these patients.
The investigative team identified 33 laparoscopic-assisted ileal pouch-anal anastomosis and 33 open ileal pouch-anal anastomosis patients.
The anastomosis in the patients was conducted at a median of 13 months and minimum of 12 months follow-up.
The data was taken from taken from a prospective, laparoscopic database.
Functional outcome was prospectively assessed by using a standardized survey.
The team matched the cohorts by individual patient for year of surgery, age, gender, body mass index, and indication.
|Postoperative morbidity occurred in 6% of laparoscopic cases vs 12% of open cases |
|Diseases of the Colon & Rectum|
There were 27 females and 6 males in each group, with a median age of 27 years.
The investigators reported that all operations occurred between 1999 and 2001.
The team noted that the median body mass index was 22 in both groups.
There were no significant differences in diagnosis, use of diversion, and anastomotic technique.
The investigative team found that postoperative morbidity occurred in 6% of the laparoscopic cases and 12% of the open cases.
Functional outcome after a minimum of 1 year revealed equivalent median day and median nocturnal number of stools of 6 to 7 and 1 to 2, respectively.
The team observed that consistency of stool, medication usage, and continence were no different between groups.
Daytime and nocturnal incontinence was similar.
In addition, the team found that quality of life in regard to social, home life, family, travel, sports, recreation, and sex life were equivalent.
Dr Larson's team conclude, “The function and quality of life outcomes for patients undergoing laparoscopic-assisted ileal pouch-anal anastomosis seem to be equivalent to our open experience.”
“Laparoscopic-assisted ileal pouch-anal anastomosis offers selected patients a safe, feasible, and durable alternative.”