Colorectal surgeons must go for the less invasive approaches by using the correct techniques and must know when to advise patients to avoid surgery of bowel transit restoration.

In this lecture Steven Wexner goes through an update, reviewing the published data about current controversies in pouch surgery.

As a summary, among the conclusions: indeterminate colitis cases has the worst results; age is not a limit; obese patients are not suitable for pouch surgery; diverting stoma can be omitted in selected patients.

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Dr. Steven D. Wexner MD, PhD, Editor-in-Chief, Surgery, Past Vice Chair, Board of Regents, American College of Surgeons, Director, Ellen Leifer Shulman and Steven Shulman Digestive Disease Center and Chair, Department of Colorectal Surgery, Cleveland Clinic Florida, USA Colorectal Surgery