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- Title
Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case.
- Authors
Miyazaki, Kensuke; Torashima, Yasuhiro; Mochizuki, Satoshi; Susumu, Seiya; Kanetaka, Kengo; Eguchi, Susumu; Kanematsu, Takashi; Abe, Kuniko; Fujita, Fumihiko
- Abstract
Chronic idiopathic colonic pseudo-obstruction (CICP) is characterized by the chronic disturbance of colonic motility without mechanical obstruction, any underlying disease or medication. Currently, there are no established medical treatments for CICP. A 62-year-old female who had undergone right hemicolectomy for splenic flexure syndrome caused by idiopathic megacolon was referred to our hospital with relapse, experiencing palpitation and abdominal fullness. She was diagnosed with CICP according to findings of marked dilation of the colon without mechanical obstruction, dilation of other parts of the gastrointestinal tract, or underlying disease. The dilated colon was surgically removed by hand-assisted laparoscopic subtotal colectomy, followed by cecorectal anastomosis. Histopathologically, there was no degeneration or lack of ganglion cells in Auerbach's plexus. The patient has experienced no severe symptoms after undergoing the present operation.
- Subjects
COLONIC pseudo-obstruction; COLECTOMY; LAPAROSCOPIC surgery; RIGHT hemicolectomy; GASTROINTESTINAL diseases
- Publication
Surgery Today, 2014, Vol 44, Issue 3, p581
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-012-0430-3