State-of-the-Art Lecture: What is the role of surgery for inflammatory bowel disease -State of the art 2007

摘要

Whilst ileal pouch-anal anastomosis (IPAA) has become a well-established procedure for patients with ulcerative colitis (UC), who have undergone a colectomy and wish to avoid a permanent stoma, it is associated with significant morbidity. The number of pouches performed worldwide has increased to over 30000 since the seminal paper which introduced this concept by Parks and Nicholls in 1978.Several points have been addressed in recent years regarding the techniques involved in pouch surgery. Studies have shown that there is no difference between close rectal dissection and total mesorectal dissection with regard to sexual dysfunction following pelvic dissection to remove the rectal stump prior to pouch formation2.