Table 3.
Characteristics of Surgical Procedures.
Surgical procedures | Total proctocolectomy with ileostomy | Total proctocolectomy with ileal pouch anal anastomosis | Total colectomy with ileorectal anastomosis |
Advantages | ・Complete prevention of colorectal cancer
・Less complications |
・Near-complete prevention of most colorectal cancer
・Preservation of anal function |
・Good anal function
・Easy operation ・Less complications |
Disadvantages | ・Deteriorated body image and inconvenient stool management by stoma creation | ・Complex surgery
・Unstable anal function ・Possibility of cancer development at remaining rectal mucosa near the anus ・Possibility of pouchitis |
・Possibility of development of rectal cancer (depending on the number of adenomas, location of the germline mutation in the APC gene, or length of the residual rectum) |