经过广泛的小肠和结肠切除手术后，患者的生活质量可能受到影响。我们提出了一种抗蠕动转大横结肠成形术作为解决方案，该手术可以在右侧和左侧结肠切除手术后保留横结肠，并实现无张力结肠直肠吻合，减缓肠道通行时间，增加排便时间，从而改善大便的一致性和生活质量，与回肠直肠吻合术相比。该技术应用于一名41岁女性，该女性患有追加腺癌，并出现腹膜转移。在手术中，横结肠顺时针旋转至肠系膜中肠血管轴线的上方，并移到左侧外层结肠腹侧，以恢复到降结肠的正常位置。经过1年的随访，患者没有进行肠外营养，每天排便5次，体重增加了15%，生活正常。在进行了细胞减少手术期间对大范围肠切除的病例中，使用抗蠕动转大横结肠成形术十分值得尝试，以避免永久造口或肠衰竭，改善患者结果。©2023.作者。

After extensive small and colon resections, quality of life can be affected. We propose the antiperistaltic transverse coloplasty as a solution that allows for preservation of the transverse colon after both right and left colectomies while achieving a tension-free colorectal anastomosis slowing the transit and increasing the absorption time, resulting in better stool consistency and quality of life compared with an ileorectal anastomosis.This technique was performed in a 41-year-old woman with Goblet cell adenocarcinoma of the appendix with peritoneal metastasis. The transverse colon is rotated anticlockwise over the axis of the middle colic vessels toward the left parietocolic flank and relocated to the usual position of the descending colon.After 1 year of follow-up, the patient led a normal life without parenteral nutrition with five bowel movements per day and a weight gain of 15%.The use of an antiperistaltic transverse coloplasty may be worthwhile to perform in cases of extensive bowel resections during cytoreductive surgery leading to short-bowel syndrome to avoid a permanent stoma or intestinal failure and improve patient outcomes.© 2023. The Author(s).