Abstract
A two-or three-stage separated operation has been the usual surgical treatment for ulcerative colitis (UC). However, since 1997, we have performed one-stage restorative proctocolectomy for patients with UC. In this report, we demonstrate the outcome of those who underwent this one-stage procedure. Out of84 patients who underwent surgery for UC in our institute, the one-stage procedure was performed in 49patients (58%), who underwent analysis of the efficacy of this procedure. As for postoperative complications, minor anastomotic leakage was observed in 5 patients (10%), all of whom recovered, however, withonly conservative treatment. No significant difference existed between patients who needed an emergencyoperation and others concerning the incidence of the postoperative complication. Moreover, no significantcorrelation was found between the incidence of the complication and the dose of steroid medication priorto the operation. Postoperative bowel function was relatively good, and all of the patients could return totheir normal social life. Despite the fact that further examination is naturally required to decide under whatcircumstances one-stage restorative proctocolectomy can be indicated, this procedure may be useful toavoid multiple separated operations and a long hospital stay for patients with UC.
