title: Hand-assisted laparoscopic subtotal colectomy with cecorectal anastomosis for chronic idiopathic colonic pseudo-obstruction: report of a case.
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.
authors.affiliation: Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan, kemiyazaki-gi@umin.net.
authors.forename: Kensuke
authors.initials: K
authors.lastname: Miyazaki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Torashima
authors.forename: Satoshi
authors.initials: S
authors.lastname: Mochizuki
authors.forename: Seiya
authors.initials: S
authors.lastname: Susumu
authors.forename: Kengo
authors.initials: K
authors.lastname: Kanetaka
authors.forename: Susumu
authors.initials: S
authors.lastname: Eguchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Kanematsu
authors.forename: Kuniko
authors.initials: K
authors.lastname: Abe
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Fujita
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D002432:Cecum / Q000601:surgery; D002908:Chronic Disease; D003082:Colectomy / Q000379:methods*; D003112:Colonic Pseudo-Obstruction / Q000473:pathology / Q000601:surgery*; D005260:Female; D058733:Hand-Assisted Laparoscopy / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012007:Rectum / Q000601:surgery; D012008:Recurrence; D013577:Syndrome; D016896:Treatment Outcome