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http://hdl.handle.net/1942/26292
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DC Field | Value | Language |
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dc.contributor.author | van Overstraeten, Anthony de Buck | - |
dc.contributor.author | Mark-Christensen, Anders | - |
dc.contributor.author | Wasmann, Karin A. | - |
dc.contributor.author | Bastiaenen, Vivian P. | - |
dc.contributor.author | Buskens, Christianne J. | - |
dc.contributor.author | Wolthuis, Albert M. | - |
dc.contributor.author | Vanbrabant, Koen | - |
dc.contributor.author | D'hoore, Andre | - |
dc.contributor.author | Bemelman, Willem A. | - |
dc.contributor.author | Tottrup, Anders | - |
dc.contributor.author | Tanis, Pieter J. | - |
dc.date.accessioned | 2018-07-12T08:29:54Z | - |
dc.date.available | 2018-07-12T08:29:54Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | ANNALS OF SURGERY, 266(5), p. 878-883 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | http://hdl.handle.net/1942/26292 | - |
dc.description.abstract | Objective: This study aims to compare surgical outcome of transanal ileal pouch-anal anastomosis (ta-IPAA) with transabdominal minimal invasive approach in ulcerative colitis (UC), using the comprehensive complication index (CCI). Background: Recent evolutions in rectal cancer surgery led to transanal dissection of the rectum resulting in a better exposure of the distal rectum and presumed better outcome. The same approach was introduced for patients with UC, resulting in decreased invasiveness. Methods: All patients, undergoing minimally invasive restorative proctocolectomy in 1, 2, or 3 stages between January 2011 and September 2016 in 3 referral centers were included. Only patients who underwent either multiport, single port, single port with 1 additional port, hand-assisted, or robotic (R) laparoscopy were included in the analysis. CCI, registered during 90 days after pouch construction, was compared between the transanal and the transabdominal approach. Results: Ninety-seven patients (male: 52%) with ta-IPAA were compared to 119 (male: 53%) with transabdominal IPAA. Ninety-nine (46%) patients had a defunctioning ileostomy at time of pouch construction. A 2-step model showed that the odds for postoperative morbidity were 0.52 times lower in the ta-IPAA group (95% confidence interval [0.29; 0.92] P = 0.026). In patients with morbidity, mean CCI of the transanal approach was 2.23 points lower than the transabdominal approach (95% confidence interval: [-6.64-3.36] P = 0.13), which was not significant. Conclusions: Ta-IPAA for UC is a safe procedure, resulting in fewer patients with morbidity, but comparable CCI when morbidity is present. Overall, ta-IPAA led to lower CCI scores. | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.rights | (C) 2017 Wolters Kluwer Health, Inc. All rights reserved | - |
dc.subject.other | ileal pouch-anal anastomosis; IPAA; postoperative morbidity; transanal ileal pouch-anal anastomosis; transanal proctectomy | - |
dc.subject.other | ileal pouch-anal anastomosis; IPAA; postoperative morbidity; transanal ileal pouch-anal anastomosis; transanal proctectomy | - |
dc.title | Transanal Versus Transabdominal Minimally Invasive (Completion) Proctectomy With Ileal Pouch-anal Anastomosis in Ulcerative Colitis A Comparative Study | - |
dc.type | Journal Contribution | - |
dc.identifier.epage | 883 | - |
dc.identifier.issue | 5 | - |
dc.identifier.spage | 878 | - |
dc.identifier.volume | 266 | - |
local.format.pages | 6 | - |
local.bibliographicCitation.jcat | A1 | - |
dc.description.notes | [van Overstraeten, Anthony de Buck; Wolthuis, Albert M.; D'hoore, Andre] Katholieke Univ Leuven, Univ Hosp Leuven, Dept Abdominal Surg, Louvain, Belgium. [Mark-Christensen, Anders; Tottrup, Anders] Aarhus Univ Hosp, Dept Surg, Sect Coloproctol, Aarhus, Denmark. [Wasmann, Karin A.; Bastiaenen, Vivian P.; Buskens, Christianne J.; Bemelman, Willem A.; Tanis, Pieter J.] Acad Med Ctr Amsterdam, Dept Gen Surg, Amsterdam, Netherlands. [Vanbrabant, Koen] Univ Leuven, KU Leuven, Leuven, Belgium. [Vanbrabant, Koen] Univ Hasselt, Biostat I, Leuven, Belgium. | - |
local.publisher.place | PHILADELPHIA | - |
local.type.refereed | Refereed | - |
local.type.specified | Article | - |
local.class | dsPublValOverrule/internal_author_not_expected | - |
dc.identifier.doi | 10.1097/SLA.0000000000002395 | - |
dc.identifier.isi | 000413324700023 | - |
item.validation | ecoom 2018 | - |
item.fulltext | With Fulltext | - |
item.contributor | van Overstraeten, Anthony de Buck | - |
item.contributor | Mark-Christensen, Anders | - |
item.contributor | Wasmann, Karin A. | - |
item.contributor | Bastiaenen, Vivian P. | - |
item.contributor | Buskens, Christianne J. | - |
item.contributor | Wolthuis, Albert M. | - |
item.contributor | Vanbrabant, Koen | - |
item.contributor | D'hoore, Andre | - |
item.contributor | Bemelman, Willem A. | - |
item.contributor | Tottrup, Anders | - |
item.contributor | Tanis, Pieter J. | - |
item.fullcitation | van Overstraeten, Anthony de Buck; Mark-Christensen, Anders; Wasmann, Karin A.; Bastiaenen, Vivian P.; Buskens, Christianne J.; Wolthuis, Albert M.; Vanbrabant, Koen; D'hoore, Andre; Bemelman, Willem A.; Tottrup, Anders & Tanis, Pieter J. (2017) Transanal Versus Transabdominal Minimally Invasive (Completion) Proctectomy With Ileal Pouch-anal Anastomosis in Ulcerative Colitis A Comparative Study. In: ANNALS OF SURGERY, 266(5), p. 878-883. | - |
item.accessRights | Restricted Access | - |
crisitem.journal.issn | 0003-4932 | - |
crisitem.journal.eissn | 1528-1140 | - |
Appears in Collections: | Research publications |
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10.1097@SLA.0000000000002395.pdf Restricted Access | Early view | 169.8 kB | Adobe PDF | View/Open Request a copy |
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