Sampietro GM, et al. - Authors sought to assess safety, efficacy and long-term results of laparoscopic ileo-pouch-anal anastomosis (IPAA), performed in elective or emergency settings, in consecutive unselected inflammatory bowel disease (IBD) patients. According to their presentation, all the patients received totally laparoscopic 2-stage (proctocolectomy and IPAA - stoma closure) or 3-stage (colectomy - proctectomy and IPAA - stoma closure) procedure. One hundred sixty patients entered the study from July 2007 to July 2016. The data presented in this work showed a totally laparoscopic approach was safe and feasible, with very low mortality and morbidity rates and very low conversion rate, even in multi-stage procedures and high-risk patients.