This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Outcomes for case‐matched laparoscopically assisted versus open restorative proctocolectomy. BJS 2009; 96: 522-526.

Published: 8th April 2009

Authors: G. S. El‐Gazzaz, R. P. Kiran, F. H. Remzi, T. L. Hull, D. P. Geisler

Background

The aim of this study was to compare safety, early and late outcomes, quality of life and functional results of laparoscopically assisted versus open ileal pouch–anal anastomosis (IPAA).

Method

Patients who had laparoscopically assisted IPAA between 1992 and 2007 were identified from a database and retrospectively matched for age, sex, body mass index (BMI) and operation date to patients who had open IPAA at a ratio of 1 : 2. Intraoperative, postoperative and long‐term functional outcomes were compared. Quality of life was determined by the Cleveland Global Quality of Life scale at 1 and 5 years.

Results

A total of 119 patients (59 men, 60 women; mean(s.d) age 35·5(14·2) years, BMI 24·7(5·0) kg/m²) had laparoscopically assisted IPAA, with conversion in nine patients (7·6 per cent); these were compared with 238 patients who had open IPAA. The 30‐day and long‐term results were similar, as well as quality of life at 1 and 5 years, except that patients in the laparoscopic group had shorter median time to stoma action (2 versus 3 days; P = 0·001) and marginally shorter hospital stay. Median operating times were longer in the laparoscopic group (272 versus 163 min; P = 0·040).

Conclusion

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