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Aim
Restorative proctocolectomy with transabdominal ileal pouch–anal anastomosis (abd‐IPAA) has become the standard surgical treatment for medically refractory ulcerative colitis (UC). However, it requires a technically difficult distal anorectal dissection and anastomosis due to the bony confines of the deep pelvis. To address these challenges, the transanal IPAA approach (ta‐IPAA) was developed...