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腹腔镜辅助下结肠次全切除术联合改良杜哈梅尔手术治疗混合型便秘

Laparoscopic-assisted subtotal colectomy combined with modified Duhamel procedure for mixed constipation.

作者信息

Zhu Xinyong, Li Jiye, Fu Tinghuan, Sun Pengjun, Jing Yuanyuan, Tian Wen

机构信息

Department of Gastrointestinal Surgery, First Hospital Affiliated to General Hospital of PLA, Beijing, China.

出版信息

JSLS. 2015 Jan-Mar;19(1):e2014.00131. doi: 10.4293/JSLS.2014.00131.

DOI:10.4293/JSLS.2014.00131
PMID:25848181
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4376214/
Abstract

BACKGROUND AND OBJECTIVES

To evaluate the effects of subtotal colectomy combined with the modified Duhamel procedure on mixed constipation.

METHODS

A total of 16 female patients with mixed constipation were enrolled and underwent subtotal colectomy combined with the modified Duhamel procedure under laparoscopy from April 2010 to April 2012. Before surgery, physical examinations such as the gastrointestinal transit test, barium enema, and defecography were performed for all the patients. After surgical treatment, 2-year follow-up was performed using questionnaires to assess the effect of treatment.

RESULTS

All 16 cases were treated successfully, with a mean operation time of 230 minutes (range, 180-290 minutes). No intraoperative or postoperative complications were found, and no deaths occurred. Constipation and relevant symptoms were relieved, and all patients were satisfied with their quality of life. The gastrointestinal quality-of-life score was significantly increased 6 months postoperatively (mean, 102) compared with preoperatively (mean, 75).

CONCLUSION

Subtotal colectomy combined with the modified Duhamel procedure under laparoscopy is effective and safe for the treatment of mixed constipation.

摘要

背景与目的

评估结肠次全切除术联合改良杜哈梅尔手术治疗混合型便秘的效果。

方法

选取2010年4月至2012年4月期间16例混合型便秘女性患者，行腹腔镜下结肠次全切除术联合改良杜哈梅尔手术。术前对所有患者进行了胃肠传输试验、钡剂灌肠及排粪造影等体格检查。手术治疗后，采用问卷调查进行2年随访以评估治疗效果。

结果

16例患者均治疗成功，平均手术时间为230分钟（范围180 - 290分钟）。未发现术中或术后并发症，无死亡病例。便秘及相关症状缓解，所有患者对生活质量满意。术后6个月胃肠道生活质量评分较术前（平均75分）显著提高（平均102分）。

结论

腹腔镜下结肠次全切除术联合改良杜哈梅尔手术治疗混合型便秘有效且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac4/4376214/5ab2b048647c/jls9991434080001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac4/4376214/5ab2b048647c/jls9991434080001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ac4/4376214/5ab2b048647c/jls9991434080001.jpg

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Long-term outcomes and quality of life after subtotal colectomy combined with modified Duhamel procedure for adult Hirschsprung's disease.成人先天性巨结肠症行结肠次全切除术联合改良杜哈梅尔手术后的长期预后及生活质量
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手术治疗难治性慢性便秘的成功结果：34 例患者系列。
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Long-term follow-up of the Jinling procedure for combined slow-transit constipation and obstructive defecation.金陵术治疗慢传输型便秘合并出口梗阻型便秘的长期随访结果。
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Favorable surgical treatment outcomes for chronic constipation with features of colonic pseudo-obstruction.具有结肠假性梗阻特征的慢性便秘的有利手术治疗结果。
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Sacral neuromodulation therapy: a promising treatment for adolescents with refractory functional constipation.骶神经调节治疗：一种治疗青少年难治性功能性便秘的有前途的方法。
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