Defecation function and quality of life in patients with slow-transit constipation after colectomy.

Background: Although total or subtotal colectomy for slow-transit constipation (STC) has been proven to be a definite treatment, the associated defecation function and quality of life (QOL) are rarely studied.

Aim: To evaluate the effectiveness of surgery for STC regarding defecation function and QOL.

Methods: From March 2013 to September 2017, 30 patients undergoing surgery for STC in our department were analyzed.

Two-stage hepatectomy for multiple giant alveolar echinococcosis.

Alveolar echinococcosis is a chronically progressive and potentially fatal disease. Patients with multiple giant alveolar echinococcosis have a poor prognosis when radical resection cannot be achieved, but curative resection can be limited by low future remnant liver volumes. In these cases, 2-stage liver resection may be a better choice: after a first-stage hepatectomy with partial resection, liver regeneration is allowed in the residual liver before proceeding to the second-stage hepatectomy.