Preservation of superior rectal artery in laparoscopic colectomy: The best choice for slow transit constipation?

Abstract

Laparoscopic colectomy with ileorectal anastomosis may be beneficial for patients with slow transit constipation who do not respond to conservative treatment, particularly if the superior rectal artery (SRA) is preserved. Several important concerns have been addressed in this commentary. It is important to first go over the definition of surgical procedure as it is used in this text. Second, the current study lacked a control group that had SRA preservation. Thirdly, it would be best to use a prospective, randomized controlled study. Lastly, a description of the mesenteric defect’s state following a laparoscopic colectomy is necessary.

Keywords: Laparoscopic colectomy; Slow transit constipation; Ileorectal anastomosis; Superior rectal artery; Anastomotic leak

Core Tip: It is advised that patients with slow transit constipation (STC) who did not respond to conservative treatment undergo laparoscopic colectomy with ileorectal anastomosis. Preserving the superior rectal artery (SRA) can assist lower the occurrence rate of anastomotic leak. It is possible that laparoscopic colectomy with ileorectal anastomosis and preservation of SRA will be the best surgical choice for patients with STC.