Liu YL, Liu WC. Preservation of superior rectal artery in laparoscopic colectomy: The best choice for slow transit constipation? World J Gastrointest Surg 2024; 16(7): 2362-2364 [PMID: 39087113 DOI: 10.4240/wjgs.v16.i7.2362]
Corresponding Author of This Article
Wei-Cheng Liu, Doctor, MD, PhD, Associate Professor, Deputy Director, Doctor, Department of Colorectal and Anal Surgery (Clinical Center for Pelvic Floor Surgery), Zhongnan Hospital of Wuhan University, No. 169 Dong Hu Road, Wuhan 430071, Hubei Province, China. wb000837@whu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Letter to the Editor
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2024; 16(7): 2362-2364 Published online Jul 27, 2024. doi: 10.4240/wjgs.v16.i7.2362
Preservation of superior rectal artery in laparoscopic colectomy: The best choice for slow transit constipation?
Yi-Lei Liu, Wei-Cheng Liu
Yi-Lei Liu, Department of Gastrointestinal Surgery, Second Affiliated Hospital of Naval Medical University (Shanghai Changzheng Hospital), Shanghai 200003, China
Wei-Cheng Liu, Department of Colorectal and Anal Surgery (Clinical Center for Pelvic Floor Surgery), Zhongnan Hospital of Wuhan University, Wuhan 430071, Hubei Province, China
Author contributions: The manuscript was written by Liu YL; Liu WC revised the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Cheng Liu, Doctor, MD, PhD, Associate Professor, Deputy Director, Doctor, Department of Colorectal and Anal Surgery (Clinical Center for Pelvic Floor Surgery), Zhongnan Hospital of Wuhan University, No. 169 Dong Hu Road, Wuhan 430071, Hubei Province, China. wb000837@whu.edu.cn
Received: May 15, 2024 Revised: June 18, 2024 Accepted: July 3, 2024 Published online: July 27, 2024 Processing time: 67 Days and 21.1 Hours
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.
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.
