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. 2018 May 25;2(Suppl I):S1–S51. doi: 10.23922/jarc.2017-028

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)