POSTOPERATIVE MANAGEMENT AND QUALITY OF LIFE ASSESSMENT IN PATIENTS WITH DOLICHOMEGACOLON FOLLOWING MINIMALLY INVASIVE SURGICAL TREATMENT: A COMPREHENSIVE REVIEW
Abstract
Background: Dolichomegacolon, characterized by abnormal elongation and dilation of the colon, presents significant clinical challenges in surgical management. Minimally invasive surgical approaches have emerged as preferred treatment modalities, offering potential advantages in postoperative outcomes and quality of life. This comprehensive review examines current evidence regarding postoperative management strategies and quality of life outcomes in patients undergoing minimally invasive surgery for dolichomegacolon.
References
1. Ma S, Yu Y, Pan A, et al. The Classification and Surgical Treatments in Adult Hirschsprung's Disease: A Retrospective Study. Front Med. 2022;9:870342. doi:10.3389/fmed.2022.870342
2. Constantin A, Achim F, Spinu D, et al. Idiopathic Megacolon—Short Review. Diagnostics. 2021;11(11):2112. doi:10.3390/diagnostics11112112
3. Meinds RJ, van der Steeg AFW, Sloots CEJ, et al. Long-term functional outcomes and quality of life in patients with Hirschsprung's disease. Br J Surg. 2019;106:499-507. doi:10.1002/bjs.11059
4. Teshayev, Oktyabr R., et al. "BARIATRIC SURGERY IN LIVER CIRRHOSIS: A COMPREHENSIVE REVIEW OF CURRENT EVIDENCE." AMERICAN JOURNAL OF APPLIED MEDICAL SCIENCE 3.6 (2025): 172-187.
5. Farah, Emile et al. “Perioperative outcomes of robotic and laparoscopic surgery for colorectal cancer: a propensity score-matched analysis.” World journal of surgical oncology vol. 21,1 272. 30 Aug. 2023, doi:10.1186/s12957-023-03138-y
6. Lee, Jeong-Eun et al. “Long-term Outcomes of Laparoscopic Surgery for Colorectal Cancer.” Journal of the Korean Society of Coloproctology vol. 27,2 (2011): 64-70. doi:10.3393/jksc.2011.27.2.64
7. Gustafsson, U O et al. “Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018.” World journal of surgery vol. 43,3 (2019): 659-695. doi:10.1007/s00268-018-4844-y
8. Theodoropoulos, George E, and Theodoros Karantanos. “Quality of life after laparoscopic colectomy for cancer.” JSLS : Journal of the Society of Laparoendoscopic Surgeons vol. 18,2 (2014): 225-35. doi:10.4293/108680813X13753907291152
9. Bakhodirovich, K. I., Normuminovich, J. E., Abdurakhmonovich, S. A., & Bakhodirovich, B. A. (2025). ALBENDAZOLE THERAPY FOR HEPATIC HYDATID DISEASE. AMERICAN JOURNAL OF APPLIED MEDICAL SCIENCE, 3(6), 107-112.
10. Хайитов, И. Б., & Бабажонов, А. Б. (2024). Морфологическая картина хитиновой оболочки эхинококковой кисты различного морфотипа. THEORY AND ANALYTICAL ASPECTS OF RECENT RESEARCH, 3(26), 131-134.
11. Sohn, Guiyun et al. “Surgical outcomes after total colectomy with ileorectal anastomosis in patients with medically intractable slow transit constipation.” Journal of the Korean Society of Coloproctology vol. 27,4 (2011): 180-7. doi:10.3393/jksc.2011.27.4.180
12. Хайитов, И. Б., & Бабажонов, А. Б. (2024). ЖИГАР ЭХИНОКОККОЗИДАГИ ЖАРРОҲЛИК АМАЛИЁТИ ОЛДИ ТАЙЁРГАРЛИГИНИНГ ЎЗИГА ХОС ХУСУСИЯТЛАРИ. SUSTAINABILITY OF EDUCATION, SOCIO-ECONOMIC SCIENCE THEORY, 2(19), 205-207.
13. Mavlyanov, O. R., Ataliev, A. E., Mavlyanov, J. A., Babajonov, A. B., Yusupbekov, D. A., & Nurmatov, S. I. (2019). A SINGLE-ROW SUTURE IN SURGERY OF THE GASTROINTESTINAL TRACT. Toshkent tibbiyot akademiyasi axborotnomasi, (2), 28-35.
14. Muni, Sweta et al. “Identification of Fungal Isolates in Patients With Pulmonary Tuberculosis Treated at a Tertiary Care Hospital.” Cureus vol. 15,4 e37664. 16 Apr. 2023, doi:10.7759/cureus.37664
15. Chen, Engeng et al. “Robotic-assisted colorectal surgery in colorectal cancer management: a narrative review of clinical efficacy and multidisciplinary integration.” Frontiers in oncology vol. 15 1502014. 7 Apr. 2025, doi:10.3389/fonc.2025.1502014
16. Vazquez, Valerie K et al. “Outcomes Comparing 19,769 Patients Who Underwent Robotic, Laparoscopic, or Open Colorectal Surgery.” JSLS : Journal of the Society of Laparoendoscopic Surgeons vol. 29,3 (2025): e2025.00038. doi:10.4293/JSLS.2025.00038
17. Simpson, J C et al. “Enhanced recovery from surgery in the UK: an audit of the enhanced recovery partnership programme 2009-2012.” British journal of anaesthesia vol. 115,4 (2015): 560-8. doi:10.1093/bja/aev105
18. Tweed, T.T.T., Sier, M.A.T., Daher, I. et al. Accelerated 23-h enhanced recovery protocol for colon surgery: the CHASE-study. Sci Rep 12, 20707 (2022). https://doi.org/10.1038/s41598-022-25022-7
19. Gajdos, Csaba, and Nader D Nader. “Enhanced recovery after surgery in colorectal surgery: Impact of protocol adherence on patient outcomes.” Journal of clinical anesthesia vol. 56 (2019): 50-51. doi:10.1016/j.jclinane.2019.01.038
20. Chaouch, Mohamed Ali et al. “How to Prevent Anastomotic Leak in Colorectal Surgery? A Systematic Review.” Annals of coloproctology vol. 36,4 (2020): 213-222. doi:10.3393/ac.2020.05.14.2
21. Daams, Freek et al. “Colorectal anastomotic leakage: aspects of prevention, detection and treatment.” World journal of gastroenterology vol. 19,15 (2013): 2293-7. doi:10.3748/wjg.v19.i15.2293
22. Fuchs, Karl-Hermann et al. “Quality of life in benign colorectal disease-a review of the assessment with the Gastrointestinal Quality of Life Index (GIQLI).” International journal of colorectal disease vol. 38,1 172. 20 Jun. 2023, doi:10.1007/s00384-023-04473-y
23. Schwenk, W et al. “Comparison of EORTC quality of life core questionnaire (EORTC-QLQ-C30) and gastrointestinal quality of life index (GIQLI) in patients undergoing elective colorectal cancer resection.” International journal of colorectal disease vol. 19,6 (2004): 554-60. doi:10.1007/s00384-004-0609-1
24. Theodoropoulos, G E et al. “Prospective evaluation of health-related quality of life after laparoscopic colectomy for cancer.” Techniques in coloproctology vol. 17,1 (2013): 27-38. doi:10.1007/s10151-012-0869-7
25. Ohya, Hiroki et al. “The comparison of health-related quality of life and patient satisfaction between single-incision and multiport laparoscopic colectomy for cancer: A sub-study of a randomized, prospective clinical trial.” Annals of gastroenterological surgery vol. 4,6 684-692. 23 Jul. 2020, doi:10.1002/ags3.12378
26. Thaler, K et al. “Quality of life after colectomy for colonic inertia.” Techniques in coloproctology vol. 9,2 (2005): 133-7. doi:10.1007/s10151-005-0211-8
27. Lin, CY., Liu, YC., Chen, MC. et al. Learning curve and surgical outcome of robotic assisted colorectal surgery with ERAS program. Sci Rep 12, 20566 (2022). https://doi.org/10.1038/s41598-022-24665-w




















