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| 篇名 |
Laparoscopic Total Colectomy:A New Surgical Alternative for Colon Inertia |
| 作者 |
Yau-Tong You, Jeng-Yi Wang, Chung-Rong Changchien, Jinn-Shiun Chen, Reiping Tang,Jy-Ming Chiang, Chien-Yuh Yeh, Pao-Shiu Hsieh, Wen-Sy Tsai, Jeng-Fu You1, Hsin-Yuan Hung |
| 卷期/出版年月 |
44卷3期 (2011/6) |
| 頁次 |
95-102 |
| 摘要 |
Objective: Abdominal total colectomy is recognized as a therapeutic option for
patients with intractable constipation due to colonic inertia. However, postoperative
complications such as intestinal obstruction, wound infection, long scars of the
abdominal wound may bother the patients. Recently, laparoscopic colectomy for
colon lesions has become an increasingly accepted procedure. It has been reported to
have many advantages because of its minimal invasiveness. The aims of this study
were to compare difference between laparoscopic colectomy and open colectomy in
the treatment of colon inertia, to assess the safety of this laparoscopic approach and
to determine whether the proposed advantages hold true.
Methods: Eighty colon inertia patients were collected from January 2005 to
January 2009. They were divided into 2 groups. Group I consisted of 38 patients who
underwent laparoscopic total abdominal colectomy with ileorectal anastomosis.
Group II consisted of 42 patients who underwent open total abdominal colectomy
with ileorectal anastomosis. The data collected from participants in the study
included age, gender, intraoperative estimated blood loss, median operative time,
time at which a clear liquid diet was started, postoperative morbidities, mean length
of hospital stay, postoperative narcotic usage, and incision length in both groups.
The two groups were compared on the basis of these data.
Results: The perioperative and postoperative outcomes including intraoperative
estimated blood loss, (group I: 87.1±27.4 ml vs group II: 127.9±30.8 ml) length of
surgical incision (group I: 4.5±0.2 cm vs group II: 23.7±1.4 cm), mean length of
hospital stay (group I: 6.3±1.3 days vs group II: 8.4±1.6 days), and narcotic usage for
postoperative wound pain (group I: 1.7±0.5 days vs group II: 2.8±0.5 days) in group
I were significantly superior to those in group II. The incidence of complications was
also significantly lower in group I than that in group II.
Conclusions: From our results, it can be said that laparoscopic total colectomy was
the better surgical alternative for colon inertia. |
| 關鍵詞 |
colon inertia, laparoscopic total colectomy |
| 分類 |
Original Articles |
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