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To analyse surgical outcomes of emergency laparoscopic subtotal colectomy for acute colitis.Aprospective database identified 20 consecutive patients who underwent emergency laparoscopic subtotal colectomy over a 4 year period in one hospital for failure to respond to medical treatment. The operations were performed by two Consultant Surgeons.Twenty patients (14 male, 6 female), median BMI 24, median age 28, underwent laparoscopic subtotal colectomy for acute colitis. Histology was 15 ulcerative colitis, three Crohn's disease and two indeterminate colitis. There was one conversion due to faecal peritonitis. Fourteen patients have subsequently undergone completionproctectomy and ileo-anal pouch formation. The median time to normal diet was 48 hours (1-3 days) and median length of stay was 5 days. There were three complications: one abdominal collection (following faecal peritonitis) and two pneumonias.Emergency laparoscopic subtotal colectomy for acute colitis is a feasible, safe and largelypredictable operation that allows for early hospital discharge.