Clinical Effect of Improved Single-port Surgery for Mixed Constipation
ZHANG Dong-ping,YANG Shimin,MA Jun-hong
Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
Abstract:
Objective To retrospectively analyze the clinical effect and value of improved single-port laparoscopic subtotal colectomy and rectal suspension for patients with mixed constipation. Methods The clinical data of 7 patients with mixed constipation who underwent subtotal colon resection and rectal suspension for the treatment of constipation were analyzed. Longo outlet obstruction constipation symptom score, Wexner constipation score, constipation severity score and patient assessment of constipation quality of life questionnaire (Pac-qol) were used to evaluate the improvement of constipation before and after surgery. Results All the operations were completed successfully without postoperative complications, such as postoperative bleeding, anastomotic fistula, intestinal obstruction and incontinence. The operative time was (303.6±19.9) min, the blood loss was (42.9±11.7) mL. The Wexner constipation score, Longo constipation score and symptom severity score were (2.0±0.5) points, (4.5±0.8) points and (2.7±0.7) points, Pal-qol was (37.6±1.4) which were significantly lower than preoperative scores (P<0.05). Conclusion Laparoscopic subtotal colectomy combined with rectal suspension for mixed constipation is a safe and feasible procedure with good cosmetic satisfaction and excellent short-time effects. It is worthy of clinical promotion.
