Results of surgical treatment for familial adenomatous polyposis

Abstract

   Aim: to analyze the results of surgery for familial adenomatous polyposis (FAP).   Patients and methods: the case series study included 20 patients with  FAP,  85 % of procedures with anastomosis and 15 % with a permanent ileostomy. Laparoscopic approach was  used in 35 %.   Results: the mean time of operation time was  243 minutes, the mean intraoperative blood loss was  244 ml, and the mean hospital stay was  17.2. Three (15.0 %) patients developed postoperative complications. Laparoscopic pro­cedures were advantageous in terms of intraoperative blood loss and faster recovery. The first polyps were detected in the rectal stump within 6-8 months after surgery, desmoid tumors within 24.3 months. Most patients had an acceptable quality of life with an mean number of stools per day 11.1.   Conclusions: FAP is a complex problem of modern medicine requiring the teamwork of various medical specialists. Minimally invasive interventions for FAP have advantages over open procedures.