Laparoscopic sigmoidectomy in patients with chronic constipation and redundant sigmoid colon
| Autor: | Chia-Wei Fang, 方佳偉 |
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| Rok vydání: | 2014 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 102 Purpose: The aim of this study was to evaluate the result of laparoscopic sigmoidectomy in patients with chronic constipation and redundant sigmoid colon. Methods: Between January 2013 and November 2013, we retrospectively investigated 12 patient with chronic constipation and redundant sigmoid colon who underwent a laparoscopic sigmoidectomy. Preoperative and postoperative( 3 months later) Wexner’s constipation scores were collected and used to evaluate the outcomes after surgical treatment. We also collected patients’ postoperative satisfaction scores. Results: The 12 patients were women with a median age of 43 years (range, 33 to 68 years). Pre- and post-operative Wexner’s scores were collected from 12 patients, and the mean preoperative Wexner’s score was 18.2 (range, 13 to 23), which decreased to an average post-operative score of 9.8 (range, 0 to 16). Neither intraoperative compli- cations nor postoperative mortalities were noted. No patients had early postoperative complications, but only one patient had late postoperative ileus which was managed with non-operative treatment. Ten of 12 patients were satisfied with their surgical out- come (83%). Conclusion: For selected patients, laparoscopic sigmoidectomy might be an effective surgical procedure with lower morbidity in patients with chronic constipation and redundant sigmoid colon. However, long-term follow-up examinations are required to show if there is persisted improvement in Wexner’s score and patients’ postoperative satisfaction scores. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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