Long-term outcomes of laparoscopic subtotal colectomy with antiperistaltic cecorectal anastomosis in treating slow transit constipation        WEI Dong, CAI Jian, ZHAO Ting, et al. Anus-Colorectal Surgery Institute of PLA, the 150th Central Hospital of PLA, Luoyang 471031,China
Corresponding author：WEI Dong, E-mail：wd150yyw5k@yeah.net
Abstract    Objective    To observe the long-term outcomes of laparoscopic subtotal colectomy with antiperistaltic cecorectal anastomosis (LSCACRA) in treating slow transit constipation (STC). Methods    The clinical data of 40 patients with STC underwent LSCACRA between April 2007 and December 2009 in the 150th Central Hospital of PLA were analyzed retrospectively. The operation time, operation blood loss, first flatus time, hospital stay time and complications were analyzed. Preoperative and postoperative parameters of patients at 3rd, 6th, 12th, and 24th month were collected, including the Wexner constipation scale (WCS), gastrointestinal quality of life index (GIQLI). Results Laparoscopic operation was undertaken to all the patients without converting to open operation. There were two cases of incomplete ileus and two cases of pulmonary infection with Dindo>Ⅰ. Comparing with the preoperative values, the values of WCS,GIQLI,AFIS and ABS at 3rd, 6th, 12th and 24th month after operation improved significantly (P<0.001). APIS didn't improve at 3rd and 6th month after operation comparing with the preoperative value (P>0.05), while the results at 12th and 24th improved significantly (P<0.05). Conclusion    LSCACRA is a safe and effective operation method, which has a significant effect in the treatment of STC and notably relieves symptoms, nutritional status and quality of life of patients, presenting small wounds and faster recovery.