Subtotal colectomy and 90 degree rotation cecorectal side-to-end anastomosis for slow transit constipation

VernacularTitle:结肠次全切除90度转位盲肠直肠端侧吻合术治疗慢传输型便秘的疗效
Author: Feng GAO ¹ ; Ming XU ; Zengqiang YANG ; Weiqiang WU ; Feng SONG ; Yonglai ZHAO ; Denian NING
Author Information

1. 730050,解放军兰州总医院结直肠肛门外科
Keywords: Consitipation; Proctocolectomy,restorative
From: Chinese Journal of General Surgery 2017;32(10):855-857
CountryChina
Language:Chinese
Abstract: Objective To analyze the clinical efficacy of subtotal colectomy,90 degree rotation of the cecum and cecorectal side-to-end anastomosis for slow transit constipation (STC).Methods Clinical data of 31 STC patients treated by subtotal colectomy,90-degree rotation round its long axis and cecorectal anastomosis were retrospective analysed.Results Open surgery was performed in 14 cases,and laparoscopic-assisted surgery in 17 cases.There was no perioperative mortality.Anastomotic fistula occurred in 1 case.4 cases suffered from intestinal obstruction including early postoperative inflammatory bowel obstruction in 2 cases,and incomplete intestinal adhesions in 2 cases.All were cured by conservative treatment.In postoperative one month stool frequency averaged at 8 times/d,after half a year the stool frequency was averaged at 6 times/d,after 2 years it was 4 times/d.There was no stool seepage during night time.Conclusions Colon subtotal resection and 90 ° rotation cecal rectal anastomosis in the treatment of STC is effective and without severe complications.