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Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case


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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
Issue Date: Mar-2014
Publisher: 日本外科学会 / Japan Surgical Society
Citation: Surgery Today, 44(3), pp.581-585; 2014
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.
Keywords: Cecorectal anastomosis / CICP / Colonic pseudo-obstruction / HALS / Intestinal pseudo-obstruction / Subtotal colectomy
URI: http://hdl.handle.net/10069/34629
ISSN: 09411291
DOI: 10.1007/s00595-012-0430-3
Rights: © 日本外科学会 / The final publication is available at link.springer.com
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/34629

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