@article{oai:shiga-med.repo.nii.ac.jp:00000117,
 author = {清水, 智治 and SHIMIZU, Tomoharu and 目片, 英治 and MEKATA, Eiji and 龍田, 健 and TATSUTA, Takeshi and 山口, 智弘 and YAMAGUCHI, Tomohiro and 山本, 寛 and YAMAMOTO, Hiroshi and 仲, 成幸 and NAKA, Shigeyuki and 村田, 聡 and MURATA, Satoshi and 塩見, 尚礼 and SHIOMI, Hisanori and 来見, 良誠 and KURUMI, Yoshimasa and 遠藤, 善裕 and ENDO, Yoshihiro and 谷, 徹 and TANI, Tohru},
 issue = {1},
 journal = {滋賀医科大学雑誌},
 month = {},
 note = {Ulcerative Colitis (UC) is a chronic inflammatory disease treated surgically with proctocolectomy and analreconstruction for intestinal continuity. Fifty-three patients of ulcerative colitis have been received surgical treatment in ourinstitute since 1992. Our institute has utilized hand assisted laparoscopic surgery (HALS) since 2002 over traditional opensurgery for proctocolectomy. We have also performed total laparoscopic proctocolectomy since 2008. We have performedanal reconstructions using ileal pouch anal canal anastomosis (IACA) since 1994. Due to recurrence of colitis in the analcanal in cases of IACA reconstruction, we began performing ileal pouch anal anastomosis (IPAA) in 2004. We comparedtraditional open surgery, HALS and total laparoscopic surgery in 20 patients with UC who underwent elective proctocolectomywith IPAA at our institution. Duration of surgery was significantly longer in total laparoscopic surgery. Blood loss,post-operative hospital stay and complications in HALS and total laparoscopic surgery were less than those in open surgery.Body mass index had a significant positive correlation with surgery duration in total laparoscopic procedures. Our findingssuggested that HALS for proctocolectomy with IPAA was not inferior to open surgery, and thus should be considered forelective proctocolectomy procedures in UC patients. Total laparoscopic surgery for elective proctocolectomy with IPAA maybe performed in select patients, although it may be superior in cosmetic aspects.},
 pages = {8--12},
 title = {当院における潰瘍性大腸炎に対する外科治療},
 volume = {23},
 year = {2010},
 yomi = {シミズ, トモハル and メカタ, エイジ and タツタ, タケシ and ヤマグチ, トモヒロ and ヤマモト, ヒロシ and ナカ, シゲユキ and ムラタ, サトシ and シオミ, ヒサノリ and クルミ, ヨシマサ and エンドウ, ヨシヒロ and タニ, トオル}
}