Laparoscopy-assisted subtotal colectomy with transanal secimen extraction for slow transit ;constipation
10.3760/cma.j.issn.1671-0274.2014.08.015
- VernacularTitle:腹腔镜辅助结肠次全切除经肛门取出标本治疗慢传输型便秘
- Author:
Wenjing GONG
1
;
Xiangdong YANG
;
Chonglin SONG
;
Hui AN
;
Shuyang REN
;
Yu WEI
;
Haibo LAN
;
Xizhong ZHAO
Author Information
1. 610015,成都肛肠专科医院便秘科
- Keywords:
Slow transit constipation;
Laparoscopy;
Subtotal colecctomy
- From:
Chinese Journal of Gastrointestinal Surgery
2014;(8):796-798
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application of laparoscopy-assisted subtotal colectomy with transanal specimen extraction for slow transit constipation(STC). Methods Retrospective analysis was performed on the clinical data of 8 cases with STC undergoing the procedure mentioned above from February to November 2013. Pre-and post-opertive constipation was assessed using Wexner Constipation and Incontinence Scales, and quality of life was assessed using Gastrointestinal Quality of Life Index. Results All the operations were completely successful without postoperative complications , such as intestinal fistula, pelvic infection, anastomotic stricture, intestinal obstruction. The Operative time was (287.6±21.5) min, blood loss was (109.7±41.1) ml, time to first flatus was (2.5±0.9) d. The proportion of postoperative constipation symptom index improvement was (77.6 ±8.3)%. Postoperative quality of life score was 97.3 ±15.7, significantly higher than that before operation (P <0.05). Postoperative Wexner constipation score was 8.8 ±3.7, significantly lower than that before operation. Conclusion Laparoscopy-assisted subtotal colectomy with transanal specimen extraction in the treatment of STC has good short-term efficacy with obvious improvement in quality of life.
