Burke J, Toomey D, Reilly F, Cahill R. Single access laparoscopic total colectomy for severe refractory ulcerative colitis. World J Gastroenterol 2020; 26(39): 6015-6026 [PMID: 33132651 DOI: 10.3748/wjg.v26.i39.6015]
Corresponding Author of This Article
Ronan Cahill, FRCS, MBBAOBCh, MD, Professor, Department of Surgery, Mater Misericordiae University Hospital, 47 Eccles Street, Dublin D01, Ireland. ronan.cahill@ucd.ie
Research Domain of This Article
Surgery
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Oct 21, 2020; 26(39): 6015-6026 Published online Oct 21, 2020. doi: 10.3748/wjg.v26.i39.6015
Single access laparoscopic total colectomy for severe refractory ulcerative colitis
John Burke, Des Toomey, Frank Reilly, Ronan Cahill
John Burke, Des Toomey, Frank Reilly, Department of Colorectal Surgery, Beaumont Hospital, Dublin D09, Ireland
Ronan Cahill, Department of Surgery, Mater Misericordiae University Hospital, Dublin D07, Ireland
Author contributions: All authors contributed substantially to this work; Cahill R was involved in study concept and design; Burke J, Toomey D and Reilly F were involved in data collection; all authors contributed to data analysis, manuscript drafting and approval.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board at the Mater Misericordiae University Hospital Clinical Audit and Effectiveness Committee.
Conflict-of-interest statement: No author has a conflict of interest with regard to the subject of this work.
Data sharing statement: Data will be made available via the UCD data registry and also on request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ronan Cahill, FRCS, MBBAOBCh, MD, Professor, Department of Surgery, Mater Misericordiae University Hospital, 47 Eccles Street, Dublin D01, Ireland. ronan.cahill@ucd.ie
Received: December 31, 2019 Peer-review started: December 31, 2019 First decision: February 19, 2020 Revised: June 15, 2020 Accepted: October 12, 2020 Article in press: October 12, 2020 Published online: October 21, 2020
ARTICLE HIGHLIGHTS
Research background
Single access laparoscopy (SAL) is a modification of standard laparoscopy that has not be studied in detail for the operation of total colectomy in patients sick with ulcerative colitis (UC). Here we examine its impact in this patient cohort.
Research motivation
Clinical outcomes were examined along with measure of operative efficiency to define the comparative advantages of the SAL approach for this surgery.
Research objectives
SAL was safely and efficiently applied meaning this approach can be considered in future for this patient group.
Research methods
Clinical data along with patient demographics and outcomes including complications.
Research results
SAL was associated with satisfactory outcomes in patients sick with UC and compared favourably to standard surgery in terms of cost and operative time.
Research conclusions
SAL was confirmed as a therapeutic option for surgical approach for patients with UC and should be considered more often where the skillsets and technology exist.
Research perspectives
Further work can expand on this series in particular to show the generalisability of these findings and also define better the relative merits of the different operative approaches now available.
