Laparoscopy assisted subtotal colectomy with antiperistalsis cecorectal anastomosis for slow transit constipation
10.3760/cma.j.issn.1007-5232.2012.04.008
- VernacularTitle:腹腔镜结肠次全切除逆蠕动盲肠直肠吻合术治疗结肠慢传输型便秘
- Author:
Hui ZHANG
;
Chao ZHANG
;
Hong LIANG
;
Guoqing LI
;
Peng TIAN
;
Zhikai WANG
;
Wanghe WANG
- Publication Type:Journal Article
- Keywords:
Constipation;
Laparoscopes;
Colectomy;
Cecorectal anastomosis
- From:
Chinese Journal of Digestive Endoscopy
2012;29(4):201-204
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical application value of laparoscopy-assisted subtotal colectomy with antiperistalsis cecorectal anastomosis for slow transit constipation (STC).Methods From September 2007 to October 2010,a total of 31 patients with STC underwent laparoscopic-assisted subtotal colectomy with antiperistalsis cecorectal anastomosis.A follow-up survey was completed at 3 and 12 months after the operation.Results No death or conversions to open operation occurred.The mean operation time,mean intraoperative blood loss and mean post-operative hospitalization were 260 min (180-310 min),60 ml (30-120 ml) and 8d (6-11 d),respectively.No postoperative infection,anastomotic stoma,adhesive intestinal obstruction or other perioperative complications occurred.In 3-month follow-up,constipation was significantly alleviated in 23 patients,mild diarrhea occurred in 5,diarrhea in 2 and mild recurrence in 1.Constipation was significantly alleviated in 25 patients,mild diarrhea occurred in 5 and mild recurrence in 1 at 12-month follow-up.Conclusion Laparoscopy-assisted subtotal colectomy with antiperistalsis cecorectal anastomosis is safe,effective and less invasive for STC.
