title: [Laparoscopy-assisted subtotal colectomy with transanal specimen extraction for slow transit constipation].
abstract: OBJECTIVE
  To investigate the clinical application of laparoscopy-assisted subtotal colectomy with transanal specimen extraction for slow transit constipation(STC).
  
  
  METHODS
  Retrospective analysis was performed on the clinical data of 8 cases with STC undergoing the procedure mentioned above from February to November 2013. Pre-and post-operative constipation was assessed using Wexner Constipation and Incontinence Scales, and quality of life was assessed using Gastrointestinal Quality of Life Index.
  
  
  RESULTS
  All the operations were completely successful without postoperative complications, such as intestinal fistula, pelvic infection, anastomotic stricture, intestinal obstruction. The Operative time was (287.6 ± 21.5) min, blood loss was (109.7 ± 41.1) ml, time to first flatus was (2.5 ± 0.9) d. The proportion of postoperative constipation symptom index improvement was(77.6 ± 8.3)%. Postoperative quality of life score was 97.3 ± 15.7, significantly higher than that before operation(P<0.05). Postoperative Wexner constipation score was 8.8 ± 3.7, significantly lower than that before operation.
  
  
  CONCLUSIONS
  Laparoscopy-assisted subtotal colectomy with transanal specimen extraction in the treatment of STC has good short-term efficacy with obvious improvement in quality of life.
authors.affiliation: Department of Constipation, Chengdu Anorectal Hospital, Chengdu 610015, China. y-xd@vip.163.com.
authors.forename: Wenjing
authors.initials: W
authors.lastname: Gong
authors.forename: Xiangdong
authors.initials: X
authors.lastname: Yang
authors.forename: Chonglin
authors.initials: C
authors.lastname: Song
authors.forename: Hui
authors.initials: H
authors.lastname: An
authors.forename: Shuyang
authors.initials: S
authors.lastname: Ren
authors.forename: Yu
authors.initials: Y
authors.lastname: Wei
authors.forename: Haibo
authors.initials: H
authors.lastname: Lan
authors.forename: Xizhong
authors.initials: X
authors.lastname: Zhao
mesh_terms: D001003:Anal Canal / Q000601:surgery; D003082:Colectomy / Q000379:methods*; D003248:Constipation / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D012189:Retrospective Studies; D016896:Treatment Outcome