TY - JOUR
T1 - Functional outcome and quality of life after transanal minimal invasive pouch surgery
AU - Harsløf, Sanne
AU - Pachler, Frederik Rønne
AU - Thaysen, Henriette Vind
AU - Drejer, Marie
AU - Brandsborg, Søren
AU - Nørager, Charlotte Buchard
AU - Tøttrup, Anders
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022/5
Y1 - 2022/5
N2 - Purpose: To investigate functional outcomes and quality of life (QoL) after restorative proctocolectomy (RPC) using transanal minimal invasive surgery (TAMIS). Method: The study consists of two sub-studies. A cohort study comprised 98 consecutive patients, who underwent TAMIS RPC. These patients were the first at our department to undergo TAMIS RPC. We collected information about surgery, complications, postoperative morbidity and mortality ≤ 30 days, and pouch problems. Patients were also invited to participate in a case–control study in which the patients would respond to three different questionnaires, the Inflammatory Bowel Disease Questionnaire (IBDQ), the Short Form-36 General Health Questionnaire (SF-36), and questions from the Pouch Dysfunction Score. We compared the responding TAMIS RPC patients to a Danish national cohort (0–10 years from RPC, n = 514) of patients having RPC between 1980 and 2010. We compared functional outcomes and QoL. Results: Four (4%) of the TAMIS patients had an anastomotic leak; none of these required re-operation with removal of the pouch. Anastomotic leak was treated with antibiotics and drain. Out of the four leaks, only one ended up with a permanent stoma; all others had their stoma reversed successfully. The TAMIS patients had the same number of bowel movements as the patients in the Danish national cohort study. The same was seen with regard to incontinence. We had no conversions in our series of TAMIS procedures. Conclusion: The TAMIS technique shows acceptable outcomes, both in regard to postoperative complications and also functional outcome and QoL.
AB - Purpose: To investigate functional outcomes and quality of life (QoL) after restorative proctocolectomy (RPC) using transanal minimal invasive surgery (TAMIS). Method: The study consists of two sub-studies. A cohort study comprised 98 consecutive patients, who underwent TAMIS RPC. These patients were the first at our department to undergo TAMIS RPC. We collected information about surgery, complications, postoperative morbidity and mortality ≤ 30 days, and pouch problems. Patients were also invited to participate in a case–control study in which the patients would respond to three different questionnaires, the Inflammatory Bowel Disease Questionnaire (IBDQ), the Short Form-36 General Health Questionnaire (SF-36), and questions from the Pouch Dysfunction Score. We compared the responding TAMIS RPC patients to a Danish national cohort (0–10 years from RPC, n = 514) of patients having RPC between 1980 and 2010. We compared functional outcomes and QoL. Results: Four (4%) of the TAMIS patients had an anastomotic leak; none of these required re-operation with removal of the pouch. Anastomotic leak was treated with antibiotics and drain. Out of the four leaks, only one ended up with a permanent stoma; all others had their stoma reversed successfully. The TAMIS patients had the same number of bowel movements as the patients in the Danish national cohort study. The same was seen with regard to incontinence. We had no conversions in our series of TAMIS procedures. Conclusion: The TAMIS technique shows acceptable outcomes, both in regard to postoperative complications and also functional outcome and QoL.
KW - Functional outcome
KW - Quality of life
KW - Transanal minimal invasive surgery
UR - http://www.scopus.com/inward/record.url?scp=85128862658&partnerID=8YFLogxK
U2 - 10.1007/s00384-022-04158-y
DO - 10.1007/s00384-022-04158-y
M3 - Journal article
C2 - 35467122
AN - SCOPUS:85128862658
SN - 0179-1958
VL - 37
SP - 1141
EP - 1150
JO - International Journal of Colorectal Disease
JF - International Journal of Colorectal Disease
IS - 5
ER -