Laparoscopy assisted subtotal colectomy with antiperistalsis cecorectal anastomosis for slow transit constipation

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 af- ter 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-I 20 ml） and 8d （6-11 d）, respectively. No postoperative infection, anastomotic stoma, adhesive intes- tinal 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. Consti- pation 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 anas- tomosis is safe, effective and less invasive for STC. Key words: Constipation; Laparoscopes ; Colectomy; Cecorectal anastomosis