Functional outcomes and quality of life in patients treated with laparoscopic total colectomy for colonic inertia

Autor: Javier Pérez-Aguirre, Nathalie Rodríguez-Dennen, Miguel Angel Valdovinos-Díaz, Rabí Mejía-Ovalle, Omar Vergara-Fernández, Víctor Hugo Guerrero-Guerrero, Juan Carlos Sánchez-Robles, Noel Salgado-Nesme
Rok vydání: 2013
Předmět:
Zdroj: Surgery Today. 44:34-38
ISSN: 1436-2813
0941-1291
DOI: 10.1007/s00595-012-0464-6
Popis: To assess the functional outcomes and quality of life in patients with laparoscopic total colectomy for slow-transit constipation (STC). All patients undergoing laparoscopic colectomy with ileorectal anastomosis for colonic inertia at two referral centers were analyzed. Their preoperative, intraoperative and postoperative details were recorded with a one-year follow-up. Their quality of life was assessed using the SF-36 questionnaire. Between 2004 and 2007, 710 patients were evaluated. Eight female patients (1.1 %) fulfilled the criteria for STC without obstructive defecation syndrome. Their mean age was 38 years ± 15 (range from 22 to 62). The conversion rate was 12.5 %. The morbidity rate was 37.5 %, and mortality was nil. The preoperative abdominal pain was 6.6 ± 0.3 and had decreased to 3.6 ± 2.3 postoperatively (P = 0.008). At 1 year, the defecation frequency per week had increased from 0.84 ± 0.24 to 6.75 ± 3.4 (P = 0.001). Three patients developed nocturnal leakage (37.5 %). Eighty-eight percent of the patients recommend the procedure. All parameters of the SF-36 questionnaire had improved at the one-year follow-up examination. Laparoscopic colectomy for slow-transit constipation is safe and increased the number of evacuations per week. Although nocturnal leakage may occur, these patients experience improvements in their quality of life.
Databáze: OpenAIRE
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