Laparoscopic subtotal colectomy following intensive endscopic polypectomy for familial adenomatous polyposis

Abstract

Usually, we conduct total coloproctectomy for familial adenomatous polyposis (FAP) . However, a problem regarding quality of life (QOL) of patients includes high stool frequency. Also, total coloproctectomy is relatively highly invasive surgery. We performed laparoscopic subtotal colectomy with ileo-sigmoid anastomosis following postoperative intensive endoscopic polypectomy for minimally invasive treatment of FAP.
Case 1 ; A 39-year-old man. His stool frequency was about 4-5 times a day postoperatively. Colonoscopy was undergone every 3-6 months.
Case 2 ; A 35-year-old man with sigmoid colon cancer and FAP. His stool frequency was about 3 times a day postoperatively. No recurrence of cancer in 4 years follow up was observed.
Conclusion : Our procedures deliver high QOL for patients, and is relatively simple for surgeons and endoscopists to perform.