Abstract
Subtotal colectomy with cecorectal anastomosis represents an interesting alternative to total colectomy with ileorectal anastomosis. Several technical variants to the methods for performing the anastomosis between the cecum and the rectal stump after subtotal colectomy have been reported. The mechanical, antiperistaltic, end-to-end cecorectal anastomosis is safe and easy to perform. The authors aimed to assess the safety and feasibility of this technique performed laparoscopically in a series of four patients. All the procedures were completed laparoscopically. The mean time for surgery was 200 min (range, 180–220 min). There was no mortality and no postoperative complications. The mean hospital stay was 4 days (range, 3–5 days). This technique can be performed laparoscopically with all the advantages inherent to the minimally invasive approach.
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References
A comparison of laparoscopically assisted and open colectomy for colon cancer (2004) New Engl J Med 350: 2050–2059
Anthuber M, Fuerst A, Elser F, Berger R, Jaunch KW (2003) Outcome of laparoscopic surgery for rectal cancer in 101 patients. Dis Colon Rectum 46: 1047–1053
Chen HH, Wexner SD, Weiss EG, Nogueras JJ, Alabaz O, Iroatulam AJ, Nessim A, Joo JS (1998) Laparoscopic colectomy for benign colorectal disease is associated with a significant reduction in disability as compared with laparotomy. Surg Endosc 12: 1397–1400
Dwivedi A, Chahin F, Agrawal S, Chau WY, Tootla A, Tootla F, Silva YJ (2002) Laparoscopic colectomy vs open colectomy for sigmoid diverticular disease. Dis Colon Rectum 45: 1309–1314
Hasegawa H, Watanabe M, Baba H, Nishibori H, Kitajima M (2002) Laparoscopic restorative proctocolectomy for patients with ulcerative colitis. J Laparoendosc Adv Surg Tech A 12: 403–406
Hildebrandt U, Plusczyk T, Kessler K, Menger MD (2003) Single-surgeon surgery in laparoscopic colonic resection. Dis Colon Rectum 46: 1640–1645
Kairaluoma MV, Viljakka MT, Kellokumpa IH (2003) Open vs laparoscopic surgery for rectal prolapse: a case controlled study assessing short-term outcome. Dis Colon Rectum 46: 353–360
Knowles CH, Scott M, Lunnis PJ (1999) Outcome of colectomy for slow-transit constipation. Ann Surg 5: 627–638
Lacy AM, Garcia-Valdecasas JC, Delgado S, Castells A, Taura P, Pique JM, Visa J (2002) Laparoscopic-assisted colectomy versus open colectomy for treatment of nonmetastatic colon cancer: a randomised trial. Lancet 29: 2224–2229
Lillehei RC, Wangensteen OH (1955) Bowel function after colectomy for cancer, polyps, and diverticulitis. JAMA 159: 163–170
Mouiel J. 1985 Anastomose caeco-rectale et colectomie presque totale. In: Welter R, Patel JC (eds) Chirurgie mèchanique digestive. Masson edit, Paris p 252
Msika S, Iannelli A, Deroide G, Jouet P, Soule JC, Kianmanesh R, Perez N, Flamant Y, Fingerhunt A, Hay JM (2001) Can laparoscopy reduce hospital stay in the treatment of Crohn’s disease? Dis Colon Rectum 44: 1661–1666
Sarli L, Costi R, Sarli D, Ronconi L (2001) Pilot study of subtotal colectomy with antiperistaltic cecoproctostomy for the treatment of chronic slow-transit constipation. Dis Colon Rectum 44: 1514–1520
Sarli L, Iusco D, Costi R, Ronconi L (2002) Laparoscopically assisted subtotal colectomy with antiperistaltic cecorectal anastomosis. Surg Endosc 16: 1493
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Iannelli, A., Fabiani, P., Mouiel, J. et al. Laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation. Surg Endosc 20, 171–173 (2006). https://doi.org/10.1007/s00464-005-0099-4
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DOI: https://doi.org/10.1007/s00464-005-0099-4