Ileosigmoid Anastomosis in Laparoscopic Subtotal Colectomy

2020 ◽  
pp. 51-60
Author(s):  
Barry Salky
Keyword(s):  
Subtotal Colectomy ◽  
Laparoscopic Subtotal Colectomy

Laparoscopic subtotal colectomy with cecorectal anastomosis for slow-transit constipation

2005 ◽  
Vol 20 (1) ◽  
pp. 171-173 ◽  
Author(s):  
A. Iannelli ◽  
P. Fabiani ◽  
J. Mouiel ◽  
J. Gugenheim
Keyword(s):  
Subtotal Colectomy ◽  
Slow Transit Constipation ◽  
Laparoscopic Subtotal Colectomy ◽  
Slow Transit ◽  
Transit Constipation

Management of Rectal Stump During Laparoscopic Subtotal Colectomy for Inflammatory Bowel Disease: A Comparative Cohort Study from Six Referral Centres

2020 ◽  
Vol 14 (9) ◽  
pp. 1214-1221 ◽  
Author(s):  
Diane Mege ◽  
Merel E Stellingwerf ◽  
Adeline Germain ◽  
Francesco Colombo ◽  
Gianluca Pellino ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Subtotal Colectomy ◽  
Rectal Stump ◽  
Best Management ◽  
Comparative Cohort Study ◽  
Laparoscopic Subtotal Colectomy ◽  
Inflammatory Bowel ◽  
The Impact ◽  
Retrospective Database

Abstract Background and Aims There is no consensus on the best management of the rectum after subtotal colectomy for refractory colitis complicating inflammatory bowel disease [IBD]. The objective was to evaluate the impact of rectal stump management during laparoscopic subtotal colectomy [LSTC] for IBD. Methods Patients who underwent LSTC with double-end ileo-sigmoidostomy [Gr.A] or end ileostomy with closed rectal stump [Gr.B] for IBD were included from a retrospective database of six European referral centres. Results In total, 314 patients underwent LSTC and were allocated to Gr.A [n = 102] and B [n = 212]. After LSTC, stoma-related complications occurred more frequently in Gr.A [12%] than in Gr.B [4%, p = 0.01]. Completion proctectomy with ileal pouch-anal anastomosis [IPAA] was performed as a three-stage procedure in all patients from Gr.A, and in 88 patients from Gr.B [42%; Gr.B1]. The other 124 patients from Gr.B underwent a modified two-stage procedure [58%; Gr.B2]. The second stage was performed laparoscopically in all patients from Gr.A compared with 73% of Gr.B1 [p < 0.0001] and 65% of Gr.B2 patients [p < 0.0001]. When laparoscopy was intended for 2nd stage IPAA, conversion to laparotomy occurred less frequently in Gr.A when compared with B1 [0 vs 5%, p = 0.06] or B2 [10%, p = 0.001]. When all surgical stages were included [LSCT and IPAA], cumulative stoma-related complications occurred more frequently in Gr.A [n = 19] than in Gr.B1 [n = 6, p = 0.02] and Gr.B2 [n = 6, p = 0.001]. Conclusion This study suggests that both techniques of double-end ileosigmoidostomy and end ileostomy with closed rectal stump are safe and effective for rectal stump management after laparoscopic subtotal colectomy.

scholarly journals Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case

Surgery Today ◽  
2012 ◽  
Vol 44 (3) ◽  
pp. 581-585 ◽  
Author(s):  
Kensuke Miyazaki ◽  
Yasuhiro Torashima ◽  
Satoshi Mochizuki ◽  
Seiya Susumu ◽  
Kengo Kanetaka ◽  
...  
Keyword(s):  
Subtotal Colectomy ◽  
Laparoscopic Subtotal Colectomy

Idiopathic mesenteric phlebosclerosis treated with laparoscopic subtotal colectomy: A case report

2020 ◽  
Vol 13 (2) ◽  
pp. 223-226 ◽  
Author(s):  
Jun Takahashi ◽  
Yasuyuki Miyakura ◽  
Ryo Maemoto ◽  
Noriya Takayama ◽  
Rintaro Fukuda ◽  
...  
Keyword(s):  
Case Report ◽  
Subtotal Colectomy ◽  
Laparoscopic Subtotal Colectomy
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