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腹腔镜结肠切除术中保留直肠上动脉:治疗慢传输型便秘的最佳选择?

Preservation of superior rectal artery in laparoscopic colectomy: The best choice for slow transit constipation?

作者信息

Liu Yi-Lei, Liu Wei-Cheng

机构信息

Department of Gastrointestinal Surgery, Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital), Shanghai 200003, China.

Department of Colorectal and Anal Surgery (Clinical Center for Pelvic Floor Surgery), Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China.

出版信息

World J Gastrointest Surg. 2024 Jul 27;16(7):2362-2364. doi: 10.4240/wjgs.v16.i7.2362.

Abstract

Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment, particularly if the superior rectal artery (SRA) is preserved. Several important concerns have been addressed in this commentary. It is important to first go over the definition of surgical procedure as it is used in this text. Second, the current study lacked a control group that had SRA preservation. Thirdly, it would be best to use a prospective, randomized controlled study. Lastly, a description of the mesenteric defect's state following a laparoscopic colectomy is necessary.

摘要

对于经保守治疗无效的慢传输型便秘患者,保留直肠上动脉(SRA)的腹腔镜结肠切除术与回直肠吻合术可能有益。本评论探讨了几个重要问题。首先,有必要明确本文中所使用的手术操作定义。其次,当前研究缺乏保留SRA的对照组。第三,最好采用前瞻性随机对照研究。最后,有必要描述腹腔镜结肠切除术后肠系膜缺损的状态。

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