To investigate the cecum and rectum anastomosis for patients with slow transit constipation(STC)treated with subtotal colon resection.

Thirty-fourcases(3 were male and 31 females; age 36-75 years, mean 60.5 years)with STC continuously admitted for surgery at Lanzhou General Hospital of Lanzhou Military Region.Clinical data were retrospectively analyzed.All patients were treated with subtotal colectomy and rectal cecum anastomosis in conventional open surgery or laparoscopic assisted conduct.Cecum rectal anastomosis using the ileocecal valve contralateral side wall of the cecum and rectum stump side anastomosis was performed.

Implementation of traditional open surgery in 18 cases, 16 cases of laparoscopic-assisted surgery.Start of the bowel movement at 1 to 3 days after surgery with 6-20 times/d, gradually reduce the number of bowel movements after the first 5-6 days.bowel movement reduced to eight times in 10 days after stool frequency/d or less in 22 patients.10 patients with postoperative watery stools with anal pain, oral Imodium, Smecta and other symptomatic treatment improved.Complications were anastomotic fistula in one case, wound infection in five cases, urinary retention in 2 cases and inflammatory bowel obstruction in two cases.30 patients were followed up in 2 months to 8 years, stool frequency is maintained at 1-6 times/d.Two patients complained of anal swelling and not a net sense defecation after seven years.One patient with incomplete intestinal obstruction in 4.5 years after surgery.27 cases were satisfied with the feeling of immediate treatment, accounting for 80%.During follow-up, all patients symptoms were improved significantly, surgical treatment satisfaction.No perioperative deaths happen.

Subtotal colectomy straight blind side anastomosis can be used as one of the surgical options for patients with refractory idiopathic STC.