Laparoscopic-assisted subtotal colectomy combined with modified Duhamel procedure for mixed constipation

Area of Science:

• Gastroenterology
• Surgical Procedures

Background:

• Mixed constipation presents a complex clinical challenge.
• Surgical interventions are considered for refractory cases.

Purpose of the Study:

• To evaluate the efficacy and safety of laparoscopic subtotal colectomy combined with the modified Duhamel procedure for mixed constipation.

Main Methods:

• 16 female patients with mixed constipation underwent laparoscopic subtotal colectomy and modified Duhamel procedure.
• Preoperative assessments included gastrointestinal transit tests, barium enema, and defecography.
• A 2-year follow-up utilized questionnaires to assess treatment outcomes.

Main Results:

• All 16 patients were successfully treated with no intraoperative or postoperative complications.
• Significant improvement in constipation symptoms and quality of life was observed.
• Gastrointestinal Quality of Life scores increased from a mean of 75 preoperatively to 102 at 6 months postoperatively.

Conclusions:

• Laparoscopic subtotal colectomy with the modified Duhamel procedure is a safe and effective treatment for mixed constipation.
• The procedure leads to significant symptom relief and enhanced patient quality of life.