Single-incision restorative proctocolectomy with ileal pouch-anal anastomosis

Abstract

Among all procedures in colorectal surgery, restorative proctocolectomy with ileal pouch-anal anastomosis is one of the most extensive and complex. Since its first description in the late 1940s, many innovations and improvements have evolved. The two most common indications for this procedure are ulcerative colitis and familial adenomatous polyposis. In recent years, studies have proven that the laparoscopic approach for pouch surgery was safe, feasible, and associated with improved short- and long-term advantages compared with an open approach. The aim of the chapter is to detail the different steps of our surgical technique for restorative proctocolectomy with ileal pouch-anal anastomosis performed by single-port laparoscopy, which could be the next recommended surgical approach in this situation.