|
|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
| ......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
| ......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
| ......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
| ......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
| ......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
| ......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
| ......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
| ......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
| ......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
| ......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
| ......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
| ......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
| ......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
| ......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
| ......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
| ......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
| ......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
| ......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
| ......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
| ......................... |
|
 |
| 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 |
|
