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Laparoscopically assisted subtotal colectomy with antiperistaltic cecorectal anastomosis.

机译:腹腔镜辅助大肠切除术伴抗蠕动盲肠直肠吻合术。

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摘要

Several trials have demonstrated the efficacy, low morbidity, and clinical benefit of laparoscopy, as compared with laparotomy, for the treatment of benign colorectal disease. Slow-transit constipation, also defined as colonic inertia (CI), improves after colectomy, and we recently proposed a technique for subtotal colectomy with a novel antiperistaltic cecorectal anastomosis (CRA). In this article, we propose a technique for subtotal colectomy with CRA via a laparoscopic approach. This technique was used to treat two young women affected by CI. The operating time was 320 and 360 min, respectively. There was no postoperative morbidity. The length of postoperative hospital stay was 10 days. One month after CRA, bowel frequency was regular in both cases. Our results allow us to state that laparoscopically assisted subtotal colectomy with CRA is safe and effective for patients with CI.
机译:与开腹手术相比,数项试验证明了腹腔镜手术治疗良性结直肠疾病的功效,低发病率和临床益处。慢结肠便秘,也被定义为结肠惯性(CI),在结肠切除术后有所改善,我们最近提出了一种采用新型抗蠕动性直肠直肠吻合术(CRA)的大肠切除术技术。在本文中,我们提出了一种通过腹腔镜方法进行CRA大肠切除术的技术。该技术用于治疗两名受CI影响的年轻女性。操作时间分别为320分钟和360分钟。没有术后发病。术后住院时间为10天。 CRA后一个月,两种情况的排便频率都是正常的。我们的结果使我们指出,CRA腹腔镜辅助大肠切除术对CI患者是安全有效的。

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