The postoperative complications and nursing experience of hand assisted laparoscopic J-type ileal pouch-anal anastomosis in familial adenomatous polyposis

VernacularTitle:手助腹腔镜全结肠切除术回肠储袋治疗家族性腺瘤性息肉病患者的术后并发症及护理
Author: Huiying ZHAO ; Haijuan XU ; Jiahe XU ; Wenbin CHEN
Publication Type:Journal Article
Keywords: Nursing; Familial adenomatous polyposis; Hand-assisted laparoscopic; Ileal pouch-anal anastomosis
From: Chinese Journal of Practical Nursing 2016;32(25):1956-1958
CountryChina
Language:Chinese
Abstract: Objective To investigate the postoperative complication and nursing experience of hand-assisted laparoscopic J-type ileal pouch-anal anastomosis (IPAA) in familial adenomatous polyposis (FAP). Methods A total of 36 patients with FAP who had undergone hand-assisted laparoscopic J-type ileal pouch- anal anastomosis (IPAA) were analyzed retrospectively. Results The postoperative complication included ileal pouch bleeding in 2 cases, urinary retention in 3 female patients, external hemorrhoids swelling in 3 cases, and anastomotic fistula in 2 cases. Six cases had ileum pouch inflammation during the postoperative follow- up. All the complications were relieved after conservative medical therapy. Conclusions IPAA operation puts forward high technical requirements with more postoperative complications. Therefore, it is important to strengthen nursing of the patients, reduce postoperative complication and increase quality of life of FAP.