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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: May 26, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
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Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

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Laparoscopic total colectomy: Does the indication influence the outcome?

Eddy Cotte1, Faheez Mohamed, Stéphane Nancey

  • 1Eddy Cotte, Yves François, Olivier Glehen, Department of Digestive Surgery, Centre Hospitalo-Universitaire Lyon Sud, Hospices Civils de Lyon, 69495 Pierre Bénite Cedex, France.

World Journal of Gastrointestinal Surgery
|December 20, 2011
PubMed
Summary

Laparoscopic total colectomy is feasible for various conditions. However, patients with inflammatory bowel disease (IBD) face a higher risk of anastomotic leaks compared to other indications.

Keywords:
ColectomyColonic neoplasmsConstipationDiverticulosisFamilial adenomatous polyposisHereditary nonpolyposisInflammatory bowel diseaseLaparoscopyTreatment outcomes

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Published on: July 25, 2025

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Colorectal Surgery

Background:

  • Laparoscopic surgery offers potential benefits over open procedures.
  • Total colectomy is indicated for various gastrointestinal conditions.
  • Comparative outcome data for laparoscopic total colectomy across different indications are limited.

Purpose of the Study:

  • To evaluate and compare the outcomes of laparoscopic total colectomy.
  • To identify factors influencing outcomes in laparoscopic total colectomy.
  • To assess the safety and efficacy of laparoscopic total colectomy for diverse patient groups.

Main Methods:

  • Prospective data collection on 66 patients undergoing laparoscopic total colectomy.
  • Patients were grouped by indication: inflammatory bowel disease (IBD) and other diseases.
  • Analysis included demographics, operative time, conversion rates, and post-operative outcomes.

Main Results:

  • Mean operative time was 4.5 hours with a 13.6% conversion rate.
  • Anastomotic leak rates were significantly higher in the IBD group (23.1% vs 1.9%).
  • Hand-sewn anastomosis and high-dose steroid use were associated with increased leak rates.

Conclusions:

  • Laparoscopic total colectomy is a feasible surgical option.
  • Outcomes are generally comparable across indications, with a notable exception.
  • Inflammatory bowel disease (IBD) patients exhibit a higher anastomotic leak rate following this procedure.