Open AccessLaparoscopic total colectomy for ulcerative colitis after liver transplantation is feasible
Author(s) -
Benjamin Darnis,
Gilles Poncet,
M. Robert
Publication year - 2017
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/0972-9941.199211
Subject(s) - medicine , ulcerative colitis , colectomy , total colectomy , surgery , liver transplantation , dysplasia , laparoscopy , colitis , transplantation , general surgery , disease
Ulcero-haemorrhagic rectocolitis can occur after liver transplantation for sclerosing cholangitis. Total colectomy with or without proctectomy may be indicated in case of chronic drug-resistant colitis, dysplasia or cancer. Today, laparoscopic approach is the standard for such procedure in non-operated patients. We performed a completely laparoscopic total colectomy 5 years after a liver transplantation. There were a few peritoneal adherences, and we could safely perform the procedure almost as usual. It provided all the advantages of the laparoscopic approach in the post-operative course.