Laparoscopic total colectomy for colonic inertia: surgical and functional results

Abstract

The laparoscopic access is a safe technique with satisfactory functional results after medium-term follow-up.

Laparoscopic total colectomy: Does the indication influence the outcome?

“…Our data shows that this operation is feasible and safe with no mortality and acceptable morbidity, as reported in previous studies [3][4][5][6][7][8][9][10][11] (Table 5). The early postoperative results highlight problems with bowel function after total colectomy with a mean of 4.4 d until the first bowel movement.…”

“…For selected patients presenting with mild disease in the rectum, no dysplasia and with normal rectal compliance, a subtotal colectomy with ileo-distal sigmoid anastomosis may be an alternative and was performed in this study. Few published reports exist and mainly report techniques performed for a single indication or include small numbers of patients [3][4][5][6][7][8][9][10] . The aim of this study was to report the outcomes of laparoscopic total colectomy based on indication, comparing IBD with other indications.…”

Long-term Follow-up of the Jinling Procedure for Combined Slow-Transit Constipation and Obstructive Defecation

“…Results after subtotal colectomy are good for pure slowtransit constipation and are sustained over follow-up, but patients must be carefully warned about potential operative morbidity, and even the small possibility of a permanent ileostomy. [36][37][38] In the Jinling procedure, we chose subtotal colectomy with cecorectal anastomosis (SCCA) as another alternative to more widely adopted surgical approaches for the treatment of slow-transit constipation. 39 We believe the preservation of the terminal ileum, cecum, and ileocecal valve is of particularly great importance for Asian populations and theoretically represents a physiological advantage over ileorectal anastomosis, avoiding malabsorption and colonic bacterial contamination of the small bowel.…”

Laparoscopic Total Colectomy Using Left-to-Right Dissection

“…1-5 However, most reports of laparoscopic total colectomy involve an operating procedure using right-to-left dissection. [1][2][3][4]6 Our preference is left colon and rectum dissection followed by right colon dissection due to a better visual field.This case-control study compared the results of the laparoscopic approach using left-to-right dissection versus an open approach using conventional right-to-left dissection, for familial adenomatous polyposis (FAP) or synchronous colorectal cancer (SCC). …”

“…1-5 However, most reports of laparoscopic total colectomy involve an operating procedure using right-to-left dissection. [1][2][3][4]6 Our preference is left colon and rectum dissection followed by right colon dissection due to a better visual field.…”