Abstract
We describe the use of laparoscopic total colectomy by the prolapsing technique for surgical treatment of familial adenomatous polyposis（FAP）in a 34-year-old woman. First, the entire colon was laparoscopically ablated and removed via a small incision in the abdominal wall. Then, an ileal J-pouch was formed extracorporeally. Next, the distal rectum was gradually everted and transanally pulled outside the body. It was then transected under direct vision with a TA-stapler, pushed back through the anus into the pelvic cavity, and anastomosed with the ileal J-pouch using the laparoscopic double stapling technique. The postoperative course of the patient has been favorable for 18 months. The frequency of defecation is 6 times per day or less, and she has no fecal incontinence. These minimally invasive surgical procedures appear to be promising as a radical treatment for patients with FAP.
