• Skip to primary navigation
  • Skip to main content
  • Skip to primary sidebar
  • Skip to footer

SAGES

Reimagining surgical care for a healthier world

  • Home
    • COVID-19 Annoucements
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Who is SAGES?
    • SAGES Mission Statement
    • Advocacy
    • Strategic Plan, 2020-2023
    • Committees
      • Request to Join a SAGES Committee
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Full Committee Rosters
      • SAGES Past Presidents
    • Donate to the SAGES Foundation
    • Awards
      • George Berci Award
      • Pioneer in Surgical Endoscopy
      • Excellence In Clinical Care
      • International Ambassador
      • IRCAD Visiting Fellowship
      • Social Justice and Health Equity
      • Excellence in Community Surgery
      • Distinguished Service
      • Early Career Researcher
      • Researcher in Training
      • Jeff Ponsky Master Educator
      • Excellence in Medical Leadership
      • Barbara Berci Memorial Award
      • Brandeis Scholarship
      • Advocacy Summit
      • RAFT Annual Meeting Abstract Contest and Awards
  • Meetings
    • NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2023 Scientific Session Call For Abstracts
      • 2023 Emerging Technology Call For Abstracts
    • CME Claim Form
    • Industry
      • Advertising Opportunities
      • Exhibit Opportunities
      • Sponsorship Opportunities
    • Future Meetings
    • Past Meetings
      • SAGES 2022
      • SAGES 2021
    • Related Meetings Calendar
  • Join SAGES!
    • Membership Benefits
    • Membership Applications
      • Active Membership
      • Affiliate Membership
      • Associate Active Membership
      • Candidate Membership
      • International Membership
      • Medical Student Membership
    • Member News
      • Member Spotlight
      • Give the Gift of SAGES Membership
  • Patients
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Patient Information Brochures
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find a SAGES Member
  • Publications
    • SAGES Stories Podcast
    • SAGES Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Patient Information Brochures
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • SCOPE – The SAGES Newsletter
    • COVID-19 Annoucements
    • Troubleshooting Guides
  • Education
    • OpiVoid.org
    • SAGES.TV Video Library
    • Safe Cholecystectomy Program
      • Safe Cholecystectomy Didactic Modules
    • Masters Program
      • SAGES Facebook Program Collaboratives
      • Acute Care Surgery
      • Bariatric
      • Biliary
      • Colorectal
      • Flexible Endoscopy (upper or lower)
      • Foregut
      • Hernia
      • Robotics
    • Educational Opportunities
    • HPB/Solid Organ Program
    • Courses for Residents
      • Advanced Courses
      • Basic Courses
    • Video Based Assessments (VBA)
    • Robotics Fellows Course
    • MIS Fellows Course
    • Facebook Livestreams
    • Free Webinars For Residents
    • SMART Enhanced Recovery Program
    • SAGES OR SAFETY Video
    • SAGES at Cine-Med
      • SAGES Top 21 MIS Procedures
      • SAGES Pearls
      • SAGES Flexible Endoscopy 101
      • SAGES Tips & Tricks of the Top 21
  • Opportunities
    • NEW-Area of Concentrated Training Seal (ACT)-Advanced Flexible Endoscopy-Coming Soon!
    • SAGES Fellowship Certification for Advanced GI MIS and Comprehensive Flexible Endoscopy
    • Multi-Society Foregut Fellowship Certification
    • SAGES Research Opportunities
    • Fundamentals of Laparoscopic Surgery
    • Fundamentals of Endoscopic Surgery
    • Fundamental Use of Surgical Energy
    • Job Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
  • Store
    • “Unofficial” Logo Products
  • Log In

Laparoscopic Sub-total Colectomy with Anti-peristaltic ileosigmoid anastomosis(ZHU’s operation) for the treatment of slow-transit constipation?therapeutic evaluation(36 cases report)

Anlong Zhu. the First Affiliated Hospital of Harbin Medical University

Objective :To assess the operative outcomes after laparoscopic subtotal colectomy with antiperistaltic ileosigmoid anastomosis (ZHU’s operation or LSCAISA)for the slow-transit constipation.

Methods:reviewed January 2009 and May 2014 the patients with slow-transit constipation underwent laparoscopic subtotal colectomy with antiperistaltic.The following pre-operative information were collected: the number of pre-operative bowel movements, constipation intervals, the frequency of using laxative, the variation rang of weight .The following postoperative information were collected: the number of postoperative bowel movements,peri-operative complications (incision infection,pneumonia,fistula of intestine,perilymph fistula ), forwards complications(malnutrition, bellyache, intestinal obstruction ),Wexner score and degree of postoperative satisfaction.

Results : 36 patients were counted. Half month after the operation,bowel frequency was a mean of 7±2 daily,with a semi—liquid stool consistency.Three months after the operation,bowel frequency was a mean of 4±2 daily, with a semi-solid stool consistency.Six months after the operation,bowel frequency was a mean of 3±1 daily,with a a solid stool consistency mostly.One year after the operation,bowel frequency was a mean of 2±1 daily,with a solid stool consistency mostly.One patient’s bowel frequency was a mean of 10 daily after six months?One elderly female patient get pneumonia in the peri-operative period and two fat patients present incision infection.Four patients occur postoperative paroxysmal bellyache.Two patients got ileus and two patients got Perilymph fistula .There were no short-term or long-term complications in the other patients.69.4% patients reported a great satisfaction, 13.9% patients expressed satisfaction and 16.7% showed basically satisfaction. The mean preoperative Wexner’s score was 20.5±3.7, which decreased to an average post-operative score of 4.8±2.3 a year later.

Conclusions: laparoscope sub-total colectomy with anti-peristaltic ileosigmoid anastomosis for the slow-transit constipation seemed to be a safe and effective procedure for selected patients. However, long-term symptomatic and functional outcome need further study.

Table 1.Clinical characteristics

Age(yr) 46(18-73)

Gender

Male/female 6/30

operation

Subtotal Colectomy with Anti-peristaltic ileosigmoid anastomosis 36

Unite STARR 2

Operation time (min) 140±20

Hospital stay (day) 9±1

bleeding volume (ml) 70±30

length of abdominal incision( cm) 5±0.5

follow-up duration(mo) 14

Table 2 Postoperative complication and management

Complication Management No.(%)

Early (≤1 mo) 8(27.8)

Postoperative ileus operation 1(2.7)

Wound infection conservative 2(5.6)

Perilymph fistula conservative 2(5.6)

pneumonia conservative 1(2.7)

paroxysmal bellyache conservative 4(11.2)

late (≥1 mo) 3(8.3)

ileus operation(adhesiolysis) 1 (2.7)

paroxysmal bellyache conservative 2(5.6)

Table 3 Postoperative patients’ satisfaction

Degree of satisfaction No.(%)

a great satisfaction 25(69.4)

satisfaction 5(13.9)

basically satisfaction 6(16.7)

poor 0(0)

ClinicalTrials.gov ID:NCT02147574

457

Share this:

  • Twitter
  • Facebook
  • LinkedIn
  • Pinterest
  • WhatsApp
  • Reddit

Related

« Return to SAGES 2015 abstract archive

Our Mission

Innovate, educate and collaborate to improve patient care.

Recently, on SAGES…

Critical View of Safety (CVS) Challenge QR Code

The SAGES Critical View of Safety Challenge – Donate Your Lap Chole Videos!

The Society of American Gastrointestinal and Endoscopic Surgeons is hosting the first Artificial Intelligence Data Challenge conducted by surgeons. The aim of this challenge is to generate a large and diverse dataset of laparoscopic cholecystectomy videos, annotated with respect to the subcomponents of the Critical View of Safety (CVS). Computer scientists from all over the […]

Respuesta de SAGES al Estudio NordICC sobre el beneficio de las colonoscopias de detección

SAGES desea aclarar los resultados del estudio NordICC y colocarlos en contexto de los esfuerzos de varias agencias nacionales para reducir el riesgo de cáncer colorrectal – la segunda causa de muerte por cáncer más frecuente en los Estados Unidos-, mediante la promoción de la detección y tratamiento oportuno de las lesiones.

SAGES Response to NordICC Study Regarding Benefit of Screening Colonoscopies

The NordICC Study recently published in The New England Journal of Medicine and widely reported on by media outlets has raised questions regarding the benefit of screening colonoscopy in lowering the risk of colorectal cancer and cancer-related deaths among otherwise healthy and symptom-free men and women aged 55 to 64. Provocative headlines and commentaries have […]

Contact SAGES

Society of American Gastrointestinal and Endoscopic Surgeons
11300 W. Olympic Blvd Suite 600
Los Angeles, CA 90064 USA
webmaster@sages.org
Tel: (310) 437-0544

Find Us Around the Web!

  • Facebook
  • Twitter
  • YouTube

Important Links

SAGES 2023 Meeting Information

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals

 

  • taTME Study Info
  • Foundation
  • SAGES.TV
  • MyCME
  • Educational Activities

Copyright © 2023 Society of American Gastrointestinal and Endoscopic Surgeons