Abstract
Since the first description of the antegrade colonic enema (ACE) procedure by Malone in 1990 [1], multiple modifications have been developed to overcome some of the initial problems. We describe what we believe to be the first laparoscopic caecodivision method of the ACE procedure. This combines the advantages of laparoscopic technique with those of not using the appendix.
Similar content being viewed by others
References
Malone PSJ, Ransley PG, Keily EM (1990) Preliminary report: the antegrade continence enema. Lancet 336:1217–1218
Churchill BM, De Ugarte DA, Atkinson JB (2003) Left-colon antegrade continence enema (LACE) procedure for fecal incontinence. J Pediatr Surg 38:1778–1780
Lynch AC, Beasley SW, Robertson RW, Morreau PN (1999) Comparison of results of laparoscopic and open antegrade continence enema procedures. Pediatr Surg Int 15:343–346
Lees NP, Hodson P, Hill J, Pearson RC, MacLennan I (2004) Long-term results of the antegrade continent enema procedure for constipation in adults. Colorectal Dis 6:362–368
Krogh K, Laurberg S (1998) Malone antegrade continence enema for faecal incontinence and constipation in adults. Br J Surg 85:974–977
Uno Y (2006) Introducer method of percutaneous endoscopic cecostomy and antegrade continence enema by use of the Chait Trapdoor cecostomy catheter in patients with adult neurogenic bowel. Gastrointest Endosc 63:666–673
Hirst GR, Arumugam PJ, Watkins AJ et al (2005) Antegrade continence enema in the treatment of obstructed defaecation with or without faecal incontinence. Tech Coloproctol 9:217–221
Robertson RW, Lynch AC, Beasley SW, Morreau PN (1999) Early experience with the laparoscopic ACE procedure Aust N Z J Surg 69:308–310
Sheldon CA, Minevich E, Wacksman J (2000) Modified technique of antegrade continence enema using a stapling device. J Urol 163:589–591
Altomare DF, Rinaldi M, Rubini D et al (2007) Long-term functional assessment of antegrade colonic enema for combined incontinence and constipation using a modified Marsh and Kiff technique. Dis Colon Rectum 50:1023–1031
McAndrew HF, Griffiths DM, Pai KP (2002) Anew complication of the Malone antegrade continence enema. J Paediatr Surg 37:1216
Castellan MA, Gosalbez R, Labbie A, Ibrahim E, Disandro M (2005) Outcomes of continent catheterisable stomas for urinary and faecal incontinence: comparison among different tissue options. BJU Int 95:1053–1057
Diamond DA, Pohl HG (2002) Use of a colon based flap for an antegrade continence enema. J Urol 169:324–326
Kiely EM, Ade-Ajayi N, Wheeler RA (1994) Caecal flap conduit for antegrade continence enemas. Br J Surg 81:1215
Cromie WJ, Goldfischer ER, Kim JH (1996) Laparoscopic creation of a continent cecal tube for antegrade colonic irrigation. Urology 47:905–907
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Thomas, K., Bassuini, M. Laparoscopic caecodivision ACE (antegrade continence enema) procedure. Tech Coloproctol 12, 65–67 (2008). https://doi.org/10.1007/s10151-008-0400-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10151-008-0400-3