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Transanal close rectum restorative proctocolectomy with a pouch is a novel approach to perform the completion proctectomy and pouch in patients who had emergency colectomy for ulcerative colitis. Since most patients currently have a laparoscopic emergency colectomy with specimen extraction via the stoma site or a small Pfannenstiel incision, a double single port approach (transstomal site abdominal single port and transanal TAMIS port) is feasible. Possible advantages are a more tailored transection of the distal rectum, easy close rectal dissection, avoidance of additional abdominal incisions, single stapling anastomosis, and working in two teams. The first collaboration data from Aarhus, Leuven and Amsterdam published in Annals of Surgery (de Buck et al. Ann Surg 2017 online) showed favorable results.
