Vergara-Fernández O, González QH, Jaramillo MC, Martínez B, Moreno-Berber JM

Language: Spanish
References: 16
Page: 136-140
PDF size: 163.11 Kb.

ABSTRACT

Objective: To describe a patient with colonic inertia who underwent a laparoscopic total colectomy.
Background: Total colectomy is the best operative procedure in non medical responsive patients with slow-transit constipation. Minimal invasion had been changing the form to carry out these resections.
Methods: After a mechanical bowel preparation, a laparoscopic total colectomy was performed using five trocars and harmonic scalpel to divide the ileocolic, right, middle, left colic and superior hemorrhoidal vessels. The colon was exteriorizated through a 5-cm Pfannestiel incision and a double-layer ileorectal anastomosis was performed.
Results: This is a 22 years old woman with severe chronic constipation who had become dependent of multiple laxatives and daily enemas. Slow-colonic transit diagnosis was done using a transit testing with radiopaque markers. Anorectal manometry did not show outlet obstruction. There were no intraoperative or postoperative complications. Patient was discharged from the hospital on the fifth postoperative day and actually had one bowel movement daily.
Conclusions: Laparoscopic total colectomy for slow-transit constipation is a safe operation with excellent clinical outcomes. This surgery is reserved for some non medical responsive patients.

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