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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

LOPEZ-KOSTNER, FRANCISCO  e  ZARATE C, ALEJANDRO. Restorative proctocolectomy with ileal pouch anal anastomosis without loop ileostomy. Rev Chil Cir [online]. 2008, vol.60, n.1, pp.63-66. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262008000100014.

The aim of this paper is to present the result of the first laparoscopic proctocolectomy with Neo anal pouch, without loop ileostomy, made in the Clinical Hospital of the Pontificia Universidad Católica de Chile. The operation was made in a patient of 34 years old, with adenomatous familial polyposis. The patient had a clinical presentation of a month and a half with abdominal pain and change of abdominal bowel evacuation. The colonoscopic study reveal the presence of multiples polyps in the colon (>100 polyps), and rectal compromise. In order to the intraoperative findings we decided made a laparoscopic proctocolectomy with an ileal J pouch, without protection ileostomy, and surgical specimen was extracted through Pfannensteil's incision. The surgery was made without difficulties, with an operative time of 340 minutes. The patient was feed with liquid diet in the 5° postoperative day, and was discharge the 9° postoperative day, without complications. There were not complications in the early follow up (<30 days since the operation). After 6 months, the patient presents 4-6 bowel movements per day, without urgency and use loperamida sporadically

Palavras-chave : Laparoscopic surgery; familial adenomatous polyposis; proctocolectomy.

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