Long-term results of subtotal colectomy with antiperistaltic cecoproctostomy.
OBJECTIVE
To evaluate the clinical role of subtotal colectomy with cecorectal anastomosis (CRA) and its postoperative results, based on our surgical experience.


METHODS
We retrospectively analyzed 26 patients who underwent subtotal colectomy with CRA during an 8-year period (1992-1999) in our university hospital. The indications for CRA were intractable constipation, colon tumors, diverticulitis, Crohn's disease, and postactinic colitis. CRA was performed using a new technique of end-to-end antiperistaltic anastomosis. Postoperative and late complications, and functional results, defined as the number of bowel movements per day and quality of life, were evaluated.


RESULTS
None of the patients experienced postoperative or late complications. Two patients died from progression of colon cancer. The mean follow-up period was 4.5 years (range 1-8 years). By 1 month after surgery, 58% of the patients were passing frequent bowel movements, and by 1 year after surgery, only 23% of the patients were passing frequent bowel movements. The last follow-up revealed a mean 1.7 bowel movements per day, and only one patient was taking medication for diarrhea. All patients were satisfied with the results of their surgery and reported that their quality of life was good or improved, and even very good in six cases.


CONCLUSIONS
Subtotal colectomy with our new CRA technique is appropriate for treating inflammatory diseases of the bowel, colon tumors, and intractable constipation in selected patients.
Sarli
Leopoldo
L
Institute of General Surgery, University of Parma, School of Medicine, Azienda Ospedale, Via Gramsci 14, 43100, Parma, Italy.
Costi
Renato
R
Iusco
Domenico
D
Roncoroni
Luigi
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D002432:Cecum / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D015179:Colorectal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004766:Enterostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D005769:Gastrointestinal Motility / Q000502:physiology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000601:surgery; D012189:Retrospective Studies; D018570:Risk Assessment; D015996:Survival Rate; D016896:Treatment Outcome