Total proctocolectomy with ileal pouch-anal anastomosis and D3 lymph node dissection with inflammatory bowel disease associated colon cancer - a video vignette.

Abstract

The incidence of colorectal cancer (CRC) in inflammatory bowel disease (IBD) patients was reported to be higher than the general population. Some studies demonstrated no difference in the prevalence of lymph node metastasis between IBD-associated and sporadic colorectal cancer. Stucchi et al. recommended lymph node dissection according to oncological principles for IBD-associated CRC [6]. According to the Japanese guidelines, D3 lymph node dissection is recommended for all tumours invading the muscularis propria or deeper. In this video, we present the key steps of total proctocolectomy with the formation of an ileal pouch-anal anastomosis and D3 lymph node dissection.