Laparoscopic-Assisted Subtotal Colectomy Combined With Modified Duhamel Procedure for Mixed Constipation
Laparoscopic-Assisted Subtotal Colectomy Combined With Modified Duhamel Procedure for Mixed Constipation
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腹腔镜辅助结肠次全切除术联合改良杜哈梅尔手术治疗混合性便秘
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
W. Tian
中科院分区：
文献类型：
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作者：
Xinyong Zhu;Ji;T. Fu;Pengjun Sun;Y. Jing;W. Tian
背景与目的：评价结肠次全切除术联合改良Duhamel手术治疗混合性便秘的效果。方法：选取2010年4月至2012年4月在腹腔镜下行结肠次全切除术联合改良Duhamel手术的16例女性混合性便秘患者。术前对所有患者行胃肠运输试验、钡灌肠、排便造影等体格检查。手术治疗后，采用问卷调查方式随访2年，评估治疗效果。结果：16例患者均治疗成功，平均手术时间230分钟（180 ~ 290分钟）。无术中、术后并发症，无死亡病例。便秘及相关症状均得到缓解，患者生活质量满意。术后6个月胃肠道生活质量评分（平均102分）较术前（平均75分）显著提高。结论：腹腔镜下结肠次全切除术联合改良Duhamel手术治疗混合性便秘安全有效。
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.
影响因子：
19.7
作者：
Gluecker, TM;Johnson, CD;Ahlquist, DA
通讯作者：
Ahlquist, DA