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Completely laparoscopic total colectomy for chronic constipation: report of a case
Yoshifumi Inoue1, Hiroshi Noro, Hiroshi Komoda
1Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Surgery Today
|July 11, 2002
Summary
This study details a novel, fully laparoscopic total colectomy for chronic constipation. The technique successfully restored bowel function, offering a minimally invasive surgical option.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Laparoscopic surgery has advanced colorectal procedures, but many still involve extracorporeal steps.
- Chronic constipation significantly impacts quality of life, often necessitating surgical intervention.
Observation:
- A case of slow transit constipation managed with total colectomy and ileorectal anastomosis is presented.
- The entire surgical procedure, including bowel division and anastomosis, was performed laparoscopically.
Findings:
- A novel intracorporeal double-stapling technique was utilized for the ileorectal anastomosis.
- The patient experienced significant improvement, passing 3-4 stools daily by 3 months post-surgery.
Implications:
- This completely laparoscopic approach minimizes operative time and reduces the risk of wound infection.
- The described technique offers a promising, less invasive alternative for managing severe chronic constipation.