O.Yu. KARPUKHIN^1,2, E.V. MOZHANOV^1,2, A.F. SHAKUROV^1,2, A.A. ELEEV¹

¹Kazan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012

²Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064 

Karpukhin O.Yu. ― D. Med. Sc., Professor of the Department of Surgical Diseases №1, curator of Coloproctology Inpatient Unit, tel. (843) 269-00-53, e-mail: oleg_karpukhin@mail.ru

Mozhanov E.V. ― Cand. Med. Sc., Assistant of the Department of Surgical Diseases №1, coloproctologist of Coloproctology Inpatient Unit, tel. (843) 269-00-53, e-mail: moganov@inbox.ru

Shakurov A.F. ― Cand. Med. Sc., Assistant of the Department of Surgery №1, coloproctologist of Coloproctology Inpatient Unit, tel. (843) 269-00-53, e-mail: aydarsha@yandex.ru

Eleev A.A. ― postgraduate student of the Department of Surgical Diseases №1, tel. (843) 269-00-53, e-mail: alim1425@mail.ru 

The article analyses the results of open and laparoscopic treatment of 71 patients with chronic constipation syndrome. The authors present the specificity of the surgical operations, applied instruments and laparoscopic equipment, the course of postoperative period, the reasons for complications in early postoperative period in patients operated by different approaches. It is alleged that the laparoscopic approach in the surgical treatment of chronic constipation is preferred and objective limitations to its use are few. However, the method requires modern instrumental and equipment facilities and highly skilled surgical team. The authors have shown the benefits of laparoscopic over open surgery in treatment of constipation syndrome and noted the need for its broad introduction to the work of coloproctology inpatient units.

Key words: colorectal surgery, chronic constipation, laparoscopic and open surgery.

REFERENCES

1. Kennedy R.D., Zarroug A.E., Moir C.R. et al. Ileal pouch anal anastomosis in pediatric familial adenomatous polyposis: a 24-year review of operative technique and patient outcomes. Journal of Pediatric Surgery, 2014, vol. 49, issue 9, pp. 1409-1412.
2. Han Y., Lin M.B., He Y.G. et al. Laparoscopic surgery for inflammatory bowel disease – the experience in China. J. Invest. Surg, 2013, no. 26 (4), pp. 180-185.
3. Pendlimari R., Touzios J.G., Azodo I.A. et al. Short-term outcomes after elective minimally invasive colectomy for diverticulitis. Br. J. Surg, 2011, no. 98, pp. 431-435.
4. Nakamura T., Onozato W., Mitomi H. et al. Retrospective, matched case-control study comparing the oncologic outcomes between laparoscopic surgery and open surgery in patients with right-sided colon cancer. Surgery Today, 2009, no. 39 (12), pp. 1040-1045.
5. Harmston C., Jones O. The evolution of laparoscopic surgery for rectal prolapse. International journal of surgery, 2011, vol. 9, issue 5, pp. 370-373.
6. Pinedo G., Zarate A.J., Garcia E. et al. Laparoscopic total colectomy for colonic inertia: surgical and functional results. Surg. Endosc, 2009, no. 23 (1), pp. 62-65.
7. Achkasov S.I., Zhuchenko A.P., Kapuller L.L., Podmarenkova L.F. Rezul’taty subtotal’noy rezektsii obodochnoy kishki u bol’nykh s khronicheskim tolstokishechnym stazom [Results subtotal resection of colon cancer in patients with chronic colonic stasis]. Aktual’nye voprosy koloproktologii. Samara, 2003. Pp. 413-414.
8. Sohn G., Yu C.S., Kim C.W. et al. Surgical outcomes after total colectomy with ileorectal anastomosis in patients with medically intractable slow transit constipation. J. Korean Soc. Coloproctol, 2011, no. 27 (4), pp. 180-187.