Use of antiperistaltic cecoproctostomy in colorectal reconstruction.
- Author:
Cong-qing JIANG
1
;
Ming-fei WANG
;
Qun QIAN
;
Yun-hua WU
;
Ke-yan ZHENG
;
Zhi-su LIU
;
Sheng-li TANG
;
Zhao DING
;
Zhong-li AI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Anastomosis, Surgical; methods; Cecum; surgery; Digestive System Surgical Procedures; methods; Female; Humans; Male; Middle Aged; Rectum; surgery; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2011;14(6):419-421
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore the feasibility and functional outcome of antiperistaltic cecoproctostomy in colorectal reconstruction.
METHODSFifty-six patients who underwent antiperistaltic cecoproctostomy were retrospectively studied. Indications for antiperistaltic cecoproctostomy included slow transit constipation(n=44), synchronous colon cancer or colonic polyps(n=5), acute obstructing left colon carcinoma(n=4), and adult megacolon(n=3).
RESULTSShort-term postoperative complications included wound infections(n=5), 3 lymphatic leakages(n=3), and inflammatory small bowel obstruction(n=1). One month after antiperistaltic cecoproctostomy, the median frequency of daily bowel movement was 4.0(range, 2-6). After a median follow-up of 4 years(range, 1 month to 7 years), the median daily bowel frequency was 2.5(range, 0.5-4.0). Five patients suffered from long-term postoperative complications including small bowel obstruction(n=3), incision hernia(n=1), and mild cecal dilatation(n=1). The mean Wexner incontinence score was 4.2±1.1.
CONCLUSIONAntiperistaltic cecoproctostomy is safe and effective for colorectal reconstruction.
