On Efficacy of Total Laparoscopic Subtotal Colectomy With Transrectal Extraction of Specimen for Colonic Slow Transit Constipation
10.3969/j.issn.1009-6604.2025.11.009
- VernacularTitle:经直肠取出标本完全腹腔镜下结肠次全切除术治疗慢传输型便秘的疗效观察
- Author:
Liping BAI
1
;
Feng YAN
;
Guangping FENG
Author Information
1. 厦门大学附属中山医院胃肠外科,厦门 361000
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Subtotal colectomy;
Natural orifice specimen extraction surgery;
Slow transit constipation
- From:
Chinese Journal of Minimally Invasive Surgery
2025;25(11):685-690
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of total laparoscopic subtotal colectomy with transrectal specimen retrieval for the treatment of slow transit constipation(STC).Methods A total of 18 patients with STC underwent laparoscopic subtotal colectomy with transrectal specimen retrieval from June 2022 to December 2024.A portion of the ileocecal region was reserved.The colon specimen was removed from the rectum and anus,and ileocecal rectal anastomosis was performed.The efficacy of treatment was evaluated by using the Wexner constipation score and Gastrointestinal Quality of life index(GIQLI).Results All the operations in the 18 patients were completed smoothly.There was no conversion to laparotomy or addition of abdominal wall incision for specimen retrieval.The operation time was240-480 min(median,360 min),the intraoperative blood loss was 20-100(median,60 ml),and the length of the resected intestinal tube was 70-110 cm(median,95 cm).The gastrointestinal function recovery time of the patients after surgery was 1-3 d(median,2 d),and the hospital stay was 8-13 d(median,10 d).All the patients recovered smoothly after surgery,without serious complications such as anastomotic leakage and abdominal infection.The Wexner constipation score at 6 months after surgery was(5.7±2.8)points,which was significantly lower than the preoperative score[(16.2±2.1)points,t=21.401,P=0.000].The GIQLI score at6 months after surgery was(114.9±9.1)points,which was significantly higher than the preoperative score[(85.2±7.2)points,t=-28.865,P=0.000].Conclusions Total laparoscopic subtotal colectomy with transrectal specimen retrieval is effective for STC.The patients'defecation status and quality of life are improved after surgery,which has certain clinical promotion value.
