2012
DOI: 10.1007/s00595-012-0430-3
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Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case

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Cited by 7 publications
(4 citation statements)
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“…The most effective surgical treatment for medically intractable constipation has been total colectomy with ileorectal anastomosis. 10,[12][13][14] In 5 patients (20 samples across different regions) where the specimens were prospectively collected over an approximately 5-year period, a series of morphological, functional and molecular studies were performed in addition to routine histopathology. Due to the infrequency of extreme cases that require surgery, colons from 8 patients (24 samples across different regions) were retrospectively studied, of which the histopathological and morphometric characteristics were assessed.…”
Section: Patientsmentioning
confidence: 99%
“…The most effective surgical treatment for medically intractable constipation has been total colectomy with ileorectal anastomosis. 10,[12][13][14] In 5 patients (20 samples across different regions) where the specimens were prospectively collected over an approximately 5-year period, a series of morphological, functional and molecular studies were performed in addition to routine histopathology. Due to the infrequency of extreme cases that require surgery, colons from 8 patients (24 samples across different regions) were retrospectively studied, of which the histopathological and morphometric characteristics were assessed.…”
Section: Patientsmentioning
confidence: 99%
“…In the case of segmental colectomy, it is possible that symptoms may recur with time, even if they initially improved after surgery. There are some reports of patients that required additional resection years after initial segmental colectomy [ 9 11 ]. The reasons included megacolon of unknown cause or ischemic necrosis due to sigmoid colon volvulus.…”
Section: Discussionmentioning
confidence: 99%
“…Decompression of the dilated colon by evacuating gas or stool from the stump of the appendix [ 10 ] or transanal drain [ 15 ] may improve visibility. In addition, it is possible to secure the operative field using hand-assisted laparoscopic surgery (HALS) if it is difficult to hold down or pull the dilated colon, especially at the splenic flexure [ 9 , 16 ]. However, reports do not mention the performance of colonoscopy as preparation on the day before surgery, as in our case.…”
Section: Discussionmentioning
confidence: 99%
“…Miyazaki et al reported a case of colonic‐type CIIP corrected by hand‐assisted laparoscopic subtotal colectomy . They used the hand‐assisted technique because they believed that the colon was markedly distended and that the surgical space would be difficult to secure for total laparoscopic surgery.…”
Section: Discussionmentioning
confidence: 99%