Minimally Invasive and Robotic Surgery for Ulcerative Colitis

 

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Abstract

Significant advancements have been made over the last 30 years in the use of minimally invasive techniques for curative and restorative operations in patients with ulcerative colitis (UC). Numerous studies have demonstrated the safety and feasibility of laparoscopic and robotic approaches to subtotal colectomy (including in the urgent setting), total proctocolectomy, completion proctectomy, and pelvic pouch creation. Data show equivalent or improved short-term postoperative outcomes with minimally invasive techniques compared to open surgery, and equivalent or improved long-term bowel function, sexual function, and fertility. Overall, while minimally invasive techniques are safe and feasible for properly selected UC patients, surgeons must remember to abide by the principles of high-quality proctectomy and pouch creation and convert to open if necessary.

Abbreviations

UC ulcerative colitis

IPAA ileal pouch anal anastomosis

MIS minimally invasive

IBD inflammatory bowel disease

STC subtotal colectomy

NSQIP American College of Surgeons National Surgical Quality Improvement Program

NIS Nationwide Inpatient Sample

TA stapler thoracoabdominal stapler

SMA superior mesenteric artery

Ta-IPAA transanal ileal pouch anal anastomosis

Ta-TME transanal total mesorectal excision

Publication History

Article published online:
29 November 2022

© 2022. Thieme. All rights reserved.

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