结直肠肛门外科2017，Vol.23Issue(5)：570-573,4.
GI-pill检测支持的腹腔镜下结肠次全切除旋转盲肠与直肠吻合治疗慢传输型便秘的疗效分析
Effect of GI-pill Detection-supported Laparoscopic Subtotal Colonctomy with Rotating Cecum and Rectal Anastomosis in the treatment of slow transit constipation
摘要
Abstract
Objective To evaluate the Effect of GI-pill Detection-supported Laparoscopic Subtotal Colonctomy with Rotating Cecum and Rectal Anastomosis in the treatment of slow transit constipation.Methods 31 patients with severe slow transit constipation were recruited as study subjects.Patients received total laparoscopic excision of colon,anastomosed with middle rectal with 180 degrees spin outside the cecum and ascending colon.We performed fully residual end after a fixed mesangial to ensure that blood vessels was not distorted preoperative and 6 months postoperative GI-pill capsule combined with colonic transit test were performed to evaluate the treatment efficacy.Results 31 patients successfully completed surgery.The total effective rate at 6 months was 100％.GI-pill capsule in vivo tests decreased with time from (128.81±25.84) h to (25.35±7.91) h.The average systolic blood pressure increased from (8.73± 1.58) kPa to (12.82±2.15) kPa.The physiological response increased from 32.34％ to 56.12％.The time for colon transit experiment decreased from (145.25±13.92) h to (24.57±4.83) h.Defecation frequency and clinical symptoms improved significantly.There was no serious postoperative diarrhea and intestinal obstruction.Conclusion GI-pill digestive tract pressure test can better evaluate the slow transit constipation severity and curative effect.For serious slow transit constipation,laparoscopic subtotal colonic resection is a good treatment choice.After the outward rotation,cecum and ascending colon anastomosed with middle rectal can reduce the anastomosis tension,and can avoid intestinal obstruction caused by entrapment.It is a useful surgical improvement and has favorable outcomes for patients.关键词
慢传输型便秘/消化道压力测定/腹腔镜手术Key words
slow transit constipation/pressure test of digestive tract/laparoscopy分类
医药卫生引用本文复制引用
王永兵,孙万驹,张根福,李刚,徐斌,郑君华,庄杨..GI-pill检测支持的腹腔镜下结肠次全切除旋转盲肠与直肠吻合治疗慢传输型便秘的疗效分析[J].结直肠肛门外科,2017,23(5):570-573,4.基金项目
上海市浦东新区卫生系统领先人才培养计划(编号:PWR2013-04) （编号:PWR2013-04）
