ONE-STAGE TOTAL COLECTOMY INCLUDING ABDOMINOPERINEAL RESECTION WITH PRIMARY ILEOSTOMY

Abstract

GENERAL agreement has been reached in most groups concerning the need for surgical intervention in the management of about 10 to 20% of cases with chronic ulcerative colitis and in 100% of cases with familial polyposis.¹There is no controversy concerning the need of colectomy as soon as the diagnosis is established in those patients with polyposis, because statistical analysis has shown the high incidence of malignancy which exists or develops in this disease.² Eventually in all patients with this disease, cancer will develop,^1cand any procrastination on the part of the patient, physician, and/or surgeon may result in the loss of the one chance the patient may have for cure. In chronic ulcerative colitis the need for surgery is dependent upon several factors. Most of the patients with this condition are a medical problem and are referred for surgical management under specific indications. These indications are