Total Colectomy and Proctocolectomy: Laparoscopic Approach

摘要: “Fast-track” or “enhanced recovery” programs have become paramount in the treatment and care of patients undergoing colorectal surgery. This strategy is divided three important elements: preoperative, intraoperative, postoperative care. Of these, use laparoscopy has essential reduction physiologic stress, morbidity, reduced hospital length stay. Surgery remains only definite our armamentarium against ulcerative colitis (UC) laparoscopic restorative proctocolectomy with ileoanal pouch anastomosis (RPC-IPAA) its most attractive alternative. Total colectomy ileorectal also referred to as subtotal primary may be performed on attenuated form familial adenomatous polyposis (FAP) MUTYH-associated (MAP) colon cancer associated hereditary nonpolyposis (HNPCC), synchronous cancer, an obstructing mass causing severe dilation proximal colon. Other cases include colonic inertia well lower gastrointestinal (LGI) bleeding. chapter will focus aforementioned procedures review some literature supporting their use.