ID | 53672 |
JaLCDOI | |
FullText URL | |
Author |
Inada, Ryo
Watanabe, Ayako
Toshima, Toshiaki
Kubota, Nobuhito
Kikuchi, Satoru
Ishida, Michihiro
Kuroda, Shinji
Mori, Yoshiko
Kaken ID
researchmap
Kishimoto, Hiroyuki
Kaken ID
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Abstract | The aim of this single-institution, retrospective, observational case-control study was to evaluate the safety and feasibility of laparoscopic proctocolectomy (PC) for ulcerative colitis (UC), by comparing it with a case-control series of open PC. Twenty UC patients who underwent laparoscopic PC were retrospectively compared with the open PC group of 12 patients matched for age, sex, and urgency of the operation. In the laparoscopic PC group, the operative time was significantly longer, but the amount of blood loss was significantly smaller. The open PC patients underwent an intraoperative blood transfusion significantly more often, and the serum C-reactive protein level on the first postoperative day was significantly higher in the open PC group. In the laparoscopic PC group, the rate of severe postoperative morbidities, grades 3 and 4 on the Clavien-Dindo classification, was significantly lower, and the median length of hospital stay was significantly shorter. Laparoscopic PC for patients with UC showed superior perioperative outcomes to open PC, except for longer operative time.
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Keywords | laparoscopic surgery
total proctocolectomy
open proctocolectomy
ulcerative colitis
case-matched study
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Amo Type | Original Article
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Publication Title |
Acta Medica Okayama
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Published Date | 2015-10
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Volume | volume69
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Issue | issue5
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Publisher | Okayama University Medical School
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Start Page | 267
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End Page | 273
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2015 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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PubMed ID | |
Web of Science KeyUT |