Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon
<b>Objective</b>To observe the clinical efficacy and safety of laparoscopic subtotal colectomy + loop colostomy in adult patients with megacolon. <b>Methods</b>Retrospective analysis was performed on the clinical data of 22 adult megacolon patients treated by laparoscopic su...
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| Format: | Article |
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The Editorial Department of Chinese Journal of Clinical Research
2023-08-01
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| Series: | Zhongguo linchuang yanjiu |
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| Online Access: | http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230803&flag=1 |
| _version_ | 1797689009603870720 |
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| author | WANG Qifei KAN Mingyun CHENG Hui SHAO Mingyue JIANG Zhiwei GONG Guanwen |
| author_facet | WANG Qifei KAN Mingyun CHENG Hui SHAO Mingyue JIANG Zhiwei GONG Guanwen |
| author_sort | WANG Qifei |
| collection | DOAJ |
| description | <b>Objective</b>To observe the clinical efficacy and safety of laparoscopic subtotal colectomy + loop colostomy in adult patients with megacolon. <b>Methods</b>Retrospective analysis was performed on the clinical data of 22 adult megacolon patients treated by laparoscopic subtotal colectomy + loop colostomy in Affiliated Hospital of Nanjing University of Chinese Medicine from October 2016 to October 2020. All patients underwent preoperative CT, barium enema, anorectal manometry, and postoperative pathological examination to diagnose megacolon. The symptoms of abdominal pain and abdominal distension, gastrointestinal quality of life score index（GIQLI）, Wexner constipation score and surgical complications were analyzed and compared before and after surgery. <b>Results</b>The incidence of preoperative abdominal distension symptoms of 22 patients was 100%, and all improved after surgery. The incidence of abdominal distension at 12 months after surgery was 4.5% （1/22）. The Wexner constipation scores at the 6th and 12th months after surgery were 6.27±2.16 and 4.77±1.11, respectively, significantly better than the preoperative score （20.41±2.48, P＜0.05）. The GIQLI at the 6th and 12th months after surgery were 104.05±12.09 and 102.23±8.20, respectively, significantly better than the preoperative score （68.64±6.04, P＜0.05）. The postoperative complications included 1 infection at the operation site （4.5%）, 1 case of anastomotic fistula （4.5%）, 1 case of abdominal bleeding （4.5%）. <b>Conclusion</b>Laparoscopic subtotal colectomy + loop colostomy is a safe and effective operation for the treatment of adult megacolon, which is worthy of further exploration and application. |
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| format | Article |
| id | doaj.art-fcedb29c909c46fa8b89cdd182587dfd |
| institution | Directory Open Access Journal |
| issn | 1674-8182 |
| language | zho |
| last_indexed | 2024-03-12T01:38:44Z |
| publishDate | 2023-08-01 |
| publisher | The Editorial Department of Chinese Journal of Clinical Research |
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| series | Zhongguo linchuang yanjiu |
| spelling | doaj.art-fcedb29c909c46fa8b89cdd182587dfd2023-09-11T02:39:27ZzhoThe Editorial Department of Chinese Journal of Clinical ResearchZhongguo linchuang yanjiu1674-81822023-08-0136811301133Clinical efficacy of laparoscopic subtotal colectomy in adult megacolonWANG Qifei0KAN Mingyun1 CHENG Hui2SHAO Mingyue3JIANG Zhiwei4GONG Guanwen5Department of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, ChinaDepartment of General Surgery, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu 210029, China <b>Objective</b>To observe the clinical efficacy and safety of laparoscopic subtotal colectomy + loop colostomy in adult patients with megacolon. <b>Methods</b>Retrospective analysis was performed on the clinical data of 22 adult megacolon patients treated by laparoscopic subtotal colectomy + loop colostomy in Affiliated Hospital of Nanjing University of Chinese Medicine from October 2016 to October 2020. All patients underwent preoperative CT, barium enema, anorectal manometry, and postoperative pathological examination to diagnose megacolon. The symptoms of abdominal pain and abdominal distension, gastrointestinal quality of life score index（GIQLI）, Wexner constipation score and surgical complications were analyzed and compared before and after surgery. <b>Results</b>The incidence of preoperative abdominal distension symptoms of 22 patients was 100%, and all improved after surgery. The incidence of abdominal distension at 12 months after surgery was 4.5% （1/22）. The Wexner constipation scores at the 6th and 12th months after surgery were 6.27±2.16 and 4.77±1.11, respectively, significantly better than the preoperative score （20.41±2.48, P＜0.05）. The GIQLI at the 6th and 12th months after surgery were 104.05±12.09 and 102.23±8.20, respectively, significantly better than the preoperative score （68.64±6.04, P＜0.05）. The postoperative complications included 1 infection at the operation site （4.5%）, 1 case of anastomotic fistula （4.5%）, 1 case of abdominal bleeding （4.5%）. <b>Conclusion</b>Laparoscopic subtotal colectomy + loop colostomy is a safe and effective operation for the treatment of adult megacolon, which is worthy of further exploration and application.http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230803&flag=1megacolonlaparoscopicsubtotal colectomyterminal ileal loop type ostomyabdominal distensionloop colostomy |
| spellingShingle | WANG Qifei KAN Mingyun CHENG Hui SHAO Mingyue JIANG Zhiwei GONG Guanwen Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon Zhongguo linchuang yanjiu megacolon laparoscopic subtotal colectomy terminal ileal loop type ostomy abdominal distension loop colostomy |
| title | Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| title_full | Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| title_fullStr | Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| title_full_unstemmed | Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| title_short | Clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| title_sort | clinical efficacy of laparoscopic subtotal colectomy in adult megacolon |
| topic | megacolon laparoscopic subtotal colectomy terminal ileal loop type ostomy abdominal distension loop colostomy |
| url | http://zglcyj.ijournals.cn/zglcyj/ch/reader/view_abstract.aspx?file_no=20230803&flag=1 |
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