Technique of laparoscopic-assisted total proctocolectomy and ileal pouch anal anastomosis

Bin Wu, Min-Er Zhong


Total proctocolectomy (TPC) with ileal pouch anal anastomosis (IPAA) is the procedure of choice for patients with ulcerative colitis (UC) requiring surgery and familial adenomatous polyposis (FAP). Laparoscopic TPC with IPAA has been applied since the early 2000s and demonstrated to be feasible and safe. J-pouch with a stapled anastomosis has been the preferred technique for its efficiency and good long-term functional outcome. The technical aspects of laparoscopic TPC with IPAA are presented in this article.