Subtotal Colectomy with Antiperistaltic Cecorectal Anastomosis in the Treatment of Slow‐transit Constipation: Long‐term Impact on Quality of Life

Abstract

Comparing our results to those of the most homogeneous literature data, SCCA does not appear to be inferior to subtotal colectomy with ileorectal anastomosis (IRA) in terms of therapeutic effectiveness, postoperative mortality and morbidity, or overall impact on quality of life.

Laparoscopic subtotal colectomy with antiperistaltic cecorectal anastomosis: a new step in the treatment of slow-transit constipation

“…Subtotal colectomy with antiperistaltic cecorectal anastomosis (SCCRA) seems to provide a valid alternative to total colectomy with ileorectal anastomosis (IRA), the most widely adopted procedure for slow-transit constipation, with potentially less functional impairment [5][6][7][8][9].…”

Comparison of laparoscopic subtotal colectomy with posterior vaginal suspension and laparoscopic subtotal colectomy with transvaginal repair for patients with slow-transit constipation complicated with rectocele: a non-randomized comparative study in a single center

“…At present, most scholars advocate such surgery. Marchesi et al [14] performed subtotal colectomy and cecocolostomy for 22 patients with colonic slow-transit constipation and reported a postoperative complication incidence rate of 9.1 %, an average Wexner continence score reduced from 20.3 before the surgery to 2.6 after the surgery, an average postoperative GIQLI of 115.5 (125.8 for health people), and a satisfaction rate of 88.2 % with the surgery. Sarli et al [15] reported 10 patients who underwent subtotal colectomy and cecorectal antiperistaltic anastomosis and obtained a constipation remission rate of 100 %; average frequency of defecation was increased from once every 10 days before the surgery to 2.…”

Indikationen und Therapieoptionen aus chirurgischer Sicht bei der Kolontransitstörung

“…Zudem werden auch zunehmend retrospektive Analysen zur anisoperistaltischen caecorektalen Anastomose veröffentlicht [26][27][28]. Hier müssen jedoch die Langzeitergebnisse noch abgewartet werden.…”