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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
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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:
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
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The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...

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Related Experiment Video

Updated: Jun 16, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Risk Factors for Prolonged Operative Time in Hand-Sewn Laparoscopic IPAA for Ulcerative Colitis.

Ryuichi Kuwahara1, Motoi Uchino1, Yusuke Tomoo1

  • 1Division of Inflammatory Bowel Disease Surgery, Department of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya, Japan.

Asian Journal of Endoscopic Surgery
|June 14, 2026
PubMed
Summary
This summary is machine-generated.

Male sex and higher BMI are linked to longer operative times in laparoscopic-assisted total proctocolectomy and ileal pouch-anal anastomosis (Lap-IPAA) for ulcerative colitis (UC). This suggests improved preoperative planning for these patients.

Keywords:
laparoscopic surgerysurgical treatmentulcerative colitis

Related Experiment Videos

Last Updated: Jun 16, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Inflammatory Bowel Disease Management

Background:

  • Laparoscopic-assisted total proctocolectomy and ileal pouch-anal anastomosis (Lap-IPAA) is a key procedure for ulcerative colitis (UC).
  • Prolonged operative time in Lap-IPAA can be influenced by technical challenges and disease factors.
  • Identifying risk factors for extended operative duration is crucial for optimizing surgical outcomes.

Purpose of the Study:

  • To determine the independent risk factors associated with prolonged operative time in hand-sewn Lap-IPAA for UC patients.
  • To provide insights for improving surgical planning and patient selection for this complex procedure.

Main Methods:

  • Retrospective analysis of 156 UC patients undergoing hand-sewn Lap-IPAA from January 2018 to June 2024.
  • Prolonged operative time defined as ≥370 minutes (75th percentile).
  • Univariate and multivariate logistic regression analyses were employed to identify significant risk factors.

Main Results:

  • 25.6% of patients experienced prolonged operative time (≥370 minutes).
  • Male sex (OR 5.153) and higher Body Mass Index (BMI) (OR 1.323) were independently associated with prolonged operative time.
  • UC severity, albumin, CRP, and immunosuppressive therapies did not show significant association with operative duration.

Conclusions:

  • Male sex and elevated BMI are significant independent predictors of prolonged operative time in hand-sewn Lap-IPAA for UC.
  • These findings emphasize the need for enhanced preoperative assessment and planning for at-risk individuals.
  • Centralizing complex UC surgeries in experienced centers may improve efficiency and outcomes for high-risk patients.