Videolaparo-assisted subtotal colectomy with cecorectal anastomosis in the treatment of chronic slow transit constipation

Conzo, Giovanni and Stanzione, Francesco and Celsi, Salvatore and Palazzo, Antonietta and Della Pietra, Cristina and Candillo, Giuseppe and Livrea, Antonio (2010) Videolaparo-assisted subtotal colectomy with cecorectal anastomosis in the treatment of chronic slow transit constipation. Il giornale di chirurgia, 31 (11/12). pp. 487-490. ISSN 1971-145X

Preview

Text article(1).pdf - Published Version Download (141kB)

Abstract

Mechanical cecorectal anastomosis after subtotal colectomy, in the treatment of slow transit constipation, probably represents the most attractive surgical alternative to total colectomy and ileorectal anastomosis. In fact the operation allows better results in terms of postoperative diarrhoea, fecal incontinence and postoperative adherential syndrome. Literature data have demonstrated the feasibility of the laparoscopic approach with tipically advantages of less invasive surgery respect of parietal integrity,less postoperative pain and ileus, fewer postoperative adhesions, a reduced hospitalitation and finally, a better cosmesis. The Authors report a case of mechanical end to end cecorectal anastomosis after laparo-assisted subtotal colectomy (by four trocars) preserving superior rectal and ilecolic vessels, for the treatment of slow transit constipation in a 20 years old male patient .The reported operative approach which links tipical laparoscopic advantages to a more “safety” and “accurate” extracorporeal mechanical anastomosis.

Item Type:	Article
Uncontrolled Keywords:	Slow transit constipation - Cecorectal anastomosis - Laparoscopic subtotal colectomy - Ileorectal anastomosis
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	22 Apr 2016 13:03
Last Modified:	22 Apr 2016 13:03
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7222

Actions (login required)

View Item