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Completely minimally invasive approach to restorative total proctocolectomy with j-pouch construction in children.

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  • 1Division of Pediatric Surgery, PennState University, Hershey, PA, USA.


Restorative total proctocolectomy with J-pouch is a procedure used for children with severe ulcerative colitis or premalignant conditions like familial polyposis. The classic approach requires a laparotomy incision. Most published minimally invasive techniques still require a somewhat smaller incision to complete the procedure. We present a completely minimally invasive approach to accomplish the same goal, using a combined laparoscopic and endorectal technique and present our current clinical results with this method.

[PubMed - indexed for MEDLINE]
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