; A Prospective, Randomized, Single-Blind Comparison of Laparoscopic Versus Open Colectomy for Slow-Transit Constipation
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A Prospective, Randomized, Single-Blind Comparison of Laparoscopic Versus Open Colectomy for Slow-Transit Constipation

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Patients with abnormal colon motility who are refractory to conservative treatment are regarded as candidates for surgery.1 Despite the reduction in morbidity and improved convalescence after laparoscopic operations for benign disorders (i.e., gallbladder stones and reflux oesophagitis), surgeons remain skeptical about whether such advances would pertain to laparoscopic colectomy for constipation. [...] a single-center, randomized trial was established to compare laparoscopic versus conventional open colectomy for patients with slow-transit constipation (STC), and to determine which procedure optimizes patient outcome. [...] in the present study, patients who underwent a laparoscopic procedure to treat STC experienced a shorter duration of surgery, less perioperatve blood loss, earlier postoperative bowel movements, and a shorter hospital stay than patients who underwent an open colectomy.

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