Single-incision laparoscopic ileoproctostomy for chronic constipation

Area of Science:

• Gastroenterology
• Minimally Invasive Surgery

Background:

• Chronic constipation significantly impacts quality of life, often necessitating surgical intervention when conservative measures fail.
• Traditional surgical approaches for severe constipation can involve extensive laparotomy with associated morbidity.
• Single Incision Laparoscopic Surgery (SILS) offers a minimally invasive alternative for various abdominal procedures.

Observation:

• A 56-year-old female patient with a 30-year history of chronic constipation, refractory to conservative management, was selected for surgical treatment.
• The patient underwent a laparoscopic ileoproctostomy utilizing the Single Incision Laparoscopic Surgery (SILS) technique.
• The procedure involved laparoscopic mobilization, stapled ileal transection, and transanal circular stapler anastomosis.

Findings:

• The SILS ileoproctostomy was completed in 90 minutes with minimal blood loss (<10mL).
• The postoperative recovery was uneventful, with discharge on postoperative day 10.
• The patient experienced regular bowel movements without laxative use following the surgery.

Implications:

• This case demonstrates the feasibility and potential efficacy of SILS for ileoproctostomy in treating chronic constipation.
• SILS may offer a less invasive surgical option for patients suffering from refractory chronic constipation.
• Further research and larger studies are warranted to establish SILS ileoproctostomy as a standard treatment for chronic constipation.