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July 1961

One-Stage Abdominal Proctocolectomy and Ileostomy: An Eight-Year Appraisal

Author Affiliations

From the Department of Surgery of the Mason Clinic.

Arch Surg. 1961;83(1):98-104. doi:10.1001/archsurg.1961.01300130102012

Five years ago we reported before the Western Surgical Association1 a series of single-stage proctocolectomies and ileostomies done through an abdominal incision without a perineal approach. Continued usage of this method whenever feasible in the treatment of chronic ulcerative colitis over the ensuing 5 years has brought gratifying results. Many operations have been employed for this disease and have been discarded after a short trial. A review of our series is presented to answer the question of whether or not the single-stage abdominal proctocolectomy has stood the test of time.

This report is concerned with 50 patients who required surgery for chronic ulcerative colitis during the last 8 years. Our chief interest has been in the 23 patients treated by single-stage proctocolectomy and ileostomy. These are compared with a series of 24 staged colectomies and ileostomies, the majority of which were performed before 5 years ago. In addition, in