Operative Therapy for Ulcerative Colitis: A Minimally Invasive Approach

The use of ileal pouch–anal anastomosis has gained widespread application in the surgical management of ulcerative colitis. Various configurations in pouch construction and techniques for ileoanal anastomosis can be considered based on indication for surgery and intraoperative factors. Staging of this restorative procedure is dictated by disease-, patient- and surgeon-dependent factors. Minimally invasive techniques offer shorter recovery time, better cosmesis and potential long-term benefits compared with an open approach. This is a safe and successful approach offering low postoperative mortality, acceptable postoperative morbidity, and good long-term function. Early identification and treatment of postoperative complications are paramount for prevention of dysfunction and pouch loss.