eprintid: 10072425
rev_number: 26
eprint_status: archive
userid: 608
dir: disk0/10/07/24/25
datestamp: 2019-04-24 09:38:32
lastmod: 2021-09-26 23:09:57
status_changed: 2019-04-24 09:38:32
type: article
metadata_visibility: show
creators_name: de Lacy, FB
creators_name: Keller, DS
creators_name: Martin-Perez, B
creators_name: Emile, SH
creators_name: Chand, M
creators_name: Spinelli, A
creators_name: Lacy, AM
title: The current state of the transanal approach to the ileal pouch-anal anastomosis
ispublished: pub
divisions: UCL
divisions: B02
divisions: C10
divisions: D16
divisions: G88
keywords: Familial adenomatous polyposis, Ileal pouch-anal anastomosis, Inflammatory bowel disease, Restorative proctocolectomy, Transanal proctectomy, Transanal total mesorectal excision, Ulcerative colitis
note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
abstract: BACKGROUND: The transanal approach to pelvic dissection has gained considerable traction and utilization continues to expand, fueled by the transanal total mesorectal excision (TaTME) for rectal cancer. The same principles and benefits of transanal pelvic dissection may apply to the transanal restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA)-the TaPouch procedure. Our goal was to review the literature to date on the development and current state of the TaPouch. MATERIALS AND METHODS: We performed a PubMed database search for original articles on transanal pelvic dissections, IPAA, and the TaPouch procedure, with a manual search from relevant citations in the reference list. The main outcomes were the technical aspects of the TaPouch, clinical and functional outcomes, and potential advantages, drawbacks, and future direction for the procedure. RESULTS: The conduct of the procedure has been defined, with the safety and feasibility demonstrated in small series. The reported rates of conversion and anastomotic leakage are low. There are no randomized trials or large-scale comparative studies available for comparative effectiveness compared to the traditional IPAA. CONCLUSIONS: The transanal approach to ileal pouch-anal anastomosis is an exciting adaption of the transanal total mesorectal excision for refining the technical steps of a complex operation. Additional experience is needed for comparative outcomes and defining the ideal training and implementation pathways.
date: 2019-05
date_type: published
official_url: https://doi.org/10.1007/s00464-019-06674-5
oa_status: green
full_text_type: other
language: eng
primo: open
primo_central: open_green
verified: verified_manual
elements_id: 1625695
doi: 10.1007/s00464-019-06674-5
pii: 10.1007/s00464-019-06674-5
lyricists_name: Chand, Manish
lyricists_id: MKCHA65
actors_name: Stacey, Thomas
actors_id: TSSTA20
actors_role: owner
full_text_status: public
publication: Surgical Endoscopy
volume: 33
number: 5
pagerange: 1368-1375
event_location: Germany
issn: 0930-2794
citation:        de Lacy, FB;    Keller, DS;    Martin-Perez, B;    Emile, SH;    Chand, M;    Spinelli, A;    Lacy, AM;      (2019)    The current state of the transanal approach to the ileal pouch-anal anastomosis.                   Surgical Endoscopy , 33  (5)   pp. 1368-1375.    10.1007/s00464-019-06674-5 <https://doi.org/10.1007/s00464-019-06674-5>.       Green open access   
 
document_url: https://discovery.ucl.ac.uk/id/eprint/10072425/3/Chand%20TRANSANAL_POUCH_Manuscript_review.pdf