Laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation
Laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation
复制标题
DOI：
10.1007/s00464-005-0099-4
复制
发表时间：
2006-01-01
影响因子：
3.1
通讯作者：
Gugenheim, J
中科院分区：
文献类型：
--
作者：
Iannelli, A;Fabiani, P;Gugenheim, J
结肠次全切除术联合盲肠直肠吻合术是全结肠切除术联合回直肠吻合术的一种有趣的替代方案。已经报道了结肠次全切除术后盲肠和直肠残端之间进行吻合的方法的几种技术变体。机械、抗蠕动、端对端盲肠直肠吻合术安全且易于实施。作者旨在评估该技术在四名患者身上通过腹腔镜进行的安全性和可行性。所有手术均通过腹腔镜完成。手术平均时间为 200 分钟（范围：180-220 分钟）。无死亡，无术后并发症。平均住院时间为 4 天（范围为 3-5 天）。该技术可以通过腹腔镜进行，具有微创方法固有的所有优点。
Subtotal colectomy with cecorectal anastomosis represents an interesting alternative to total colectomy with ileorectal anastomosis. Several technical variants to the methods for performing the anastomosis between the cecum and the rectal stump after subtotal colectomy have been reported. The mechanical, antiperistaltic, end-to-end cecorectal anastomosis is safe and easy to perform. The authors aimed to assess the safety and feasibility of this technique performed laparoscopically in a series of four patients. All the procedures were completed laparoscopically. The mean time for surgery was 200 min (range, 180-220 min). There was no mortality and no postoperative complications. The mean hospital stay was 4 days (range, 3-5 days). This technique can be performed laparoscopically with all the advantages inherent to the minimally invasive approach.