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

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. Key words: Consitipation; Proctocolectomy, restorative