Letter to the Editor
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Core Tip

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.