Comparison of hand‐assisted laparoscopy with open total colectomy for slow transit constipation: A retrospective study

Abstract

HALC is a safe, minimally invasive and effective surgical alternative for treating STC, which is comparable to OC.

Searching for a definition for pharmacologically refractory constipation: A systematic review

“…A number of studies used Rome II or Rome III criteria for defining functional constipation, implying minimum symptom duration as 12 or 6 months, respectively. Sixteen studies did not specify the duration of constipation in their patients although one author described it as “a long time” and another “longstanding” …”

“…Surgery for constipation would normally be carried out on patients with the most refractory symptoms. In this review, 48 studies involving surgical treatment of constipation were included: 32 of which were surgical series, 6,[14][15][16]21,[26][27][28][29][30][32][33][34][35]37,39,41,43,45,46,48,49,[51][52][53][54]56,[58][59][60]63 while 16 were studies on colonic tissue obtained at colectomy. [8][9][10][11][17][18][19][20]22,23,25,31,36,44,62,66 Seven of the pathological series came from one center 10,11,…”

“…18 A number of studies used Rome II 20,26,35,37,52,62 or Rome III 45,53,56 criteria for defining functional constipation, implying minimum symptom duration as 12 or 6 months, respectively. Sixteen studies 6,8,14,21,27,[32][33][34]39,41,43,48,49,54,58,60 did not specify the duration of constipation in their patients although one author described it as "a long time" 43 and another "longstanding". 8 The constipation was said to be severe in 11 studies, 18,20,21,27,33,39,41,43,49,53,56 intractable in 9 studies, [8][9][10]16,28,35,45,48,60 severely intractable in 5 studies, 11,…”

“…Sixteen studies 6,8,14,21,27,[32][33][34]39,41,43,48,49,54,58,60 did not specify the duration of constipation in their patients although one author described it as "a long time" 43 and another "longstanding". 8 The constipation was said to be severe in 11 studies, 18,20,21,27,33,39,41,43,49,53,56 intractable in 9 studies, [8][9][10]16,28,35,45,48,60 severely intractable in 5 studies, 11,19,22,25,44 and refractory in 7 studies. 15,29,37,59,63,65,66 The severity of the constipation was not qualified in 16 ...…”

“…6,14,17,23,26,[30][31][32]34,36,46,51,52,54,58,62 Prior medical therapy was not mentioned at all in five studies. 6,14,19,32,33 Most authors mentioned failure or unresponsiveness to medical therapy, sometimes unspecified, 16,26,[28][29][30]45,58,60,65 but usually diet, stimulant or osmotic laxatives, suppositories, or enemas. Treatment duration before patients are deemed to be suitable for surgery is seldom stated, but periods of 30 days, 30 6 weeks, 51 3 months, 59 half a year, 15 over 2 years, 53,56,63 3 years, 62 or more than 3 years 46 were mentioned.…”