Laparoscopic total colectomy for colonic inertia: surgical and functional results

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dc.contributor.authorPinedo, George
dc.contributor.authorJose Zarate, Alejandro
dc.contributor.authorGarcia, Eduardo
dc.contributor.authorElena Molina, Maria
dc.contributor.authorLopez, Francisco
dc.contributor.authorZuniga, Alvaro
dc.date.accessioned2025-01-21T01:04:55Z
dc.date.available2025-01-21T01:04:55Z
dc.date.issued2009
dc.description.abstractTotal colectomy is the surgery of choice for colonic inertia (CI) when medical treatment has failed. Laparoscopic total colectomy has demonstrated to be a feasible technique.
dc.description.abstractPresent our experience in patients with CI who underwent laparoscopic total colectomy (TC) + ileorectoanastomosis (IRA) and evaluate the functional results and medium-term follow-up after this surgery.
dc.description.abstractAll patients with CI were included in a prospective laparoscopic surgical protocol, from 2002 to 2007. These patients had a complete work-up for chronic constipation (clinical records, barium enema, colonic transit time, defecography, anorectal manometry, small bowel follow through). All patients were evaluated with Wexner's score for constipation pre- and postoperatively, asked if they would recommend surgery to other patients, and if they were satisfied with the procedure (on a scale from 1 to 10). Statistical analysis was carried out using Student's T-test.
dc.description.abstractIn this period 20 patients were operated with diagnosis of CI. All patients were females with an average age of 41.5 years (range 18-52 years). Mean operative time was 248 min (range 170-360 min). One (5%) patient was converted to open surgery. The medium time to flatus per anum and feeding was 2 (range 1-6) and 3 (range 2-6) days, respectively. The medium postoperative stay was 7 days. Seven patients (35%) presented surgical postoperative complications (three postoperative ileus, one portal thrombosis, one rectal hemorrhage, one anastomotic leakage, and one hemoperitoneum). There was no postoperative mortality. The average follow-up was 25 months (range 1-60 months). Preoperative Wexner's constipation score was 22.3 (range 19-29 months) pre surgery and at the end of follow-up was 1.8 (range 0-6) (p < 0.01). The medium level of satisfaction was 8 (range 2-10) and only one patient would not recommend surgery to other patients.
dc.description.abstractThe laparoscopic access is a safe technique with satisfactory functional results after medium-term follow-up.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00464-008-9901-4
dc.identifier.eissn1432-2218
dc.identifier.issn0930-2794
dc.identifier.urihttps://doi.org/10.1007/s00464-008-9901-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/95734
dc.identifier.wosidWOS:000262089300010
dc.issue.numero1
dc.language.isoen
dc.pagina.final65
dc.pagina.inicio62
dc.revistaSurgical endoscopy and other interventional techniques
dc.rightsacceso restringido
dc.subjectDigestive
dc.subjectG-I
dc.subjectGut
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleLaparoscopic total colectomy for colonic inertia: surgical and functional results
dc.typeartículo
dc.volumen23
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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