Abstract:
Objective To evaluate the efficacy, feasibility and safety of laparoscopic shortening of fixed mesenteric in the treatment of redundant sigmoid colon with long and intestine torsion.
Methods From January 2007 to December 2016, twenty-one cases of redundant sigmoid colon with long and intestine torsion were studied from the Fifth Affiliated Hospital of Sun Yat-sen University. The patients underwent laparoscopic reduction in success, along the intestine and mesangium, and then repeatedly sutured and fixed on the left side of the sigmoid colon close to the intercostal on the pelvic wall. The defecation improvement and complications were analyzed to evaluate the curative effect of this operation.
Results There were no complications in all cases. No recurrence of sigmoid distention or intestinal obstruction occurred in 1 year, and 17 cases (81.0%) had different degrees of improvement. Among them, 8 cases (38.1%) were completely effective, and 9 (42.9%) were partly effective; 4 cases (19.0%) had no obvious improvement in defecation.
Conclusion Laparoscopic shortening and fixing mesothelioma is effective, feasible, safe and simple, and has certain clinical value in the treatment of redundant sigmoid colon.
Key words:
Sigmoid diseases,
Intestinal volvulus,
Mesocolon,
Laparoscopes
Jinlin Zou, Peng Li, Jinqi Wei, Xiangqiong Mo, Xingwei Liu. Laparoscopic shortening of the fixed mesothelioma in the treatment of redundant sigmoid colon with long bowel torsion[J]. Chinese Archives of General Surgery(Electronic Edition), 2018, 12(03): 177-179.