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Surgery for ileoanal pouch has evolved dramatically over the last 30 years. Many of the advances relate to minimally invasive approaches that not only offer cosmetic benefits but also have advantages that are well described in the literature. In this technical note, the authors describe the double single-port transanal pouch operation. An abdominal single-port is used for total colectomy, at the site of the ileostomy. A transanal single-port is used for the ‘bottom-up’ rectal resection. The technical steps and potential advantages of the technique are discussed in detail. Double single-port transanal pouch surgery is technically feasible and can have significant benefits in ulcerative colitis patients.

Double single-port transanal pouch surgery: a novel technique for rectal excision and ileo-anal pouch anastomosis for ulcerative colitis