LAPAROSCOPIC VERSUS OPEN ILEAL POUCH-ANAL ANASTOMOSIS IN PAEDIATRIC PATIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS

jpedsurg.org

Restorative Proctocolectomy (RP) with Ileal Pouch-Anal Anastomosis (IPAA) represents the gold-standard surgical treatment for patients requiring total colonic and rectal removal due to ulcerative colitis, familial adenomatous polyposis, and other colonic pathologies. The laparoscopic approach (L-IPAA) has been increasingly utilized in pediatric and young adult populations to enhance recovery and reduce morbidity; however, its benefits over open surgery (O-IPAA) remain uncertain. This meta-analysis aimed to compare outcomes between L-IPAA and O-IPAA, focusing on complications, operative time, and length of hospital stay (LOS).

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Article · Feb 2026 · 1 min read

In brief

This systematic review compares laparoscopic versus open ileal pouch-anal anastomosis in pediatric patients requiring total colectomy for ulcerative colitis and familial adenomatous polyposis. The meta-analysis evaluates key surgical outcomes including complication rates, operative duration, and hospital length of stay to determine whether minimally invasive techniques offer measurable advantages in this population.

Laparoscopic IPAA is increasingly used in pediatric ulcerative colitis and FAP to potentially reduce morbidity and enhance recovery.
Meta-analysis compares L-IPAA vs O-IPAA on key outcomes: complications, operative time, and hospital length of stay.
IPAA remains gold-standard for total proctocolectomy in children requiring complete colonic and rectal removal.
Evidence for laparoscopic superiority over open approach in pediatric populations is still uncertain despite growing adoption.

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