Sarli L, Iusco D, Costi R, Roncoroni L
Institute of General Surgery, University of Parma, School of Medicine, Via Gramsci n. 14, 43100 Parma, Italy.
Surg Endosc. 2002 Oct;16(10):1493. doi: 10.1007/s00464-002-4517-6. Epub 2002 Jul 8.
Several trials have demonstrated the efficacy, low morbidity, and clinical benefit of laparoscopy, as compared with laparotomy, for the treatment of benign colorectal disease. Slow-transit constipation, also defined as colonic inertia (CI), improves after colectomy, and we recently proposed a technique for subtotal colectomy with a novel antiperistaltic cecorectal anastomosis (CRA). In this article, we propose a technique for subtotal colectomy with CRA via a laparoscopic approach. This technique was used to treat two young women affected by CI. The operating time was 320 and 360 min, respectively. There was no postoperative morbidity. The length of postoperative hospital stay was 10 days. One month after CRA, bowel frequency was regular in both cases. Our results allow us to state that laparoscopically assisted subtotal colectomy with CRA is safe and effective for patients with CI.
与开腹手术相比，多项试验已证明腹腔镜手术治疗良性结直肠疾病具有疗效好、发病率低和临床获益等优点。慢传输型便秘，也被定义为结肠惰性（CI），在结肠切除术后有所改善，并且我们最近提出了一种采用新型逆蠕动盲直肠吻合术（CRA）的次全结肠切除术技术。在本文中，我们提出了一种通过腹腔镜途径行次全结肠切除术并采用CRA的技术。该技术用于治疗两名患有CI的年轻女性。手术时间分别为320分钟和360分钟。术后无并发症发生。术后住院时间为10天。CRA术后1个月，两例患者的排便频率均恢复正常。我们的结果表明，对于CI患者，腹腔镜辅助下采用CRA的次全结肠切除术是安全有效的。
