Effect of The Laparoscopic Partial Recto-Sigmoid Resection with Rectopexy for Adult Complete Rectal Prolapse_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 FUYan ,  LIHeng , LIUQuan , HUANGDong

Department of General Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, Hubei Province, China;

Corresponding author：

LIHeng, Email: flysky109@163.com

Keywords：

Rectal prolapse; Laparoscopy; Partial recto-sigmoid resection; Rectopexy

DOI：

10.7507/1007-9424.20140108

Video：

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Objective To explore the effect of laparoscopic partial recto-sigmoid resection with rectopexy for adult complete rectal prolapse. Methods Clinical data of 32 adult patients with complete rectal prolapse who underwent laparoscopic partial recto-sigmoid resection with rectopexy in our hospital from May. 2010 to May. 2013 were analyzed. Results All operations were performed successfully and all patients were cured, no one transferred to open surgery. The mean of operation time was 114.7 min (95-167 min), the mean of operative blood loss was 80 mL (55-150 mL), and the mean of hospital stay was 9.8 d (6-14 d). All patients were followed up for 3-48 months (mean of 25.6 months), and anal function of them recovered well. During the follow-up period, there were no operative complications and recurrent case. Conclusions Laparoscopic partial recto-sigmoid resection with rectopexy is a safe and effective procedure for the treatment of adult complete rectal prolapse, with minimal invasion, quick recovery, and a low recurrence rate. It provides a novel surgical method with a high value of clinical application.

Citation： FUYan, LIHeng, LIUQuan, HUANGDong. Effect of The Laparoscopic Partial Recto-Sigmoid Resection with Rectopexy for Adult Complete Rectal Prolapse. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(4): 448-451. doi: 10.7507/1007-9424.20140108 Copy

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20.	冯辉, 陈俊奎, 汪强, 等.经腹直肠补片悬吊固定术在成人完全性直肠脱垂治疗中的应用[J].中华胃肠外科杂志, 2010, 13(8):601-603.
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1. 喻德洪.黄家驷外科学[M].第6版.北京:人民卫生出版社, 2005:1182-1184.
2. 郑泽霖, 何晓明.直肠脱垂的手术治疗[J].临床外科杂志, 2007, 15(2):81-82.
3. Watkins BP, Landercasper J, Belzer GE, et al. Long-term follow-up of the modified Delorme procedure for rectal prolapse[J]. Arch Surg, 2003, 138(5):498-503.
4. 中华中医药学会肛肠分会.肛裂、直肠脱垂、肛瘘、痔的诊断标准(试行草案)[J].中国肛肠杂志, 2004, 24(4):42-43.
5. 中华医学会消化病学分会胃肠动力学组, 外科学分会结直肠肛门外科学组.中国慢性便秘的诊治指南[J].中华消化杂志, 2007, 27(9):619-622.
6. 中华医学会消化病分会.中国结直肠肿瘤筛查、早诊早治和综合预防共识意见(一)[J].中华消化杂志, 2012, 32(1):1-10.
7. 中华医学会消化病分会.中国结直肠肿瘤筛查、早诊早治和综合预防共识意见(二)[J].中华消化杂志, 2012, 32(2):73-81.
8. 王浩, 谷云飞.直肠脱垂的外科治疗进展[J].国际外科学杂志, 2010, 37(11):747-749.
9. 杜如昱, 王彬, 汪建平, 等.结肠与直肠外科学[M].第5版.北京:人民卫生出版社, 2009:441-442.
10. 美国结直肠外科医师协会标准化工作委员会.直肠脱垂诊治指南[J].中华胃肠外科杂志, 2012, 15(7):755-757.
11. 卢鹏, 刘连杰, 傅传刚.直肠脱垂的诊断和治疗[J].中国实用外科杂志, 2005, 25(2):65-67.
12. 李志霞, 韩加刚.直肠脱垂的外科治疗[J].中华胃肠外科杂志, 2004, 7(4):260-261.
13. 李东冰, 谢振年, 王芳丽, 等. STAPRE手术治疗直肠脱垂42例报道[J].中国普外基础与临床杂志, 2012, 19(7):774-776.
14. 李国峰, 周建华.直肠脱垂病因的认识与治疗[J].中国肛肠病杂志, 2012, 32(5):79-80.
15. Melton GB, Kwaan MR. Rectal prolapse[J]. Surg Clin North Am, 2013, 93(1):187-198.
16. Purkayastha S, Tekkis P, Athanasiou T, et al. A comparison of open vs. laparoscopic abdominal rectopexy for full-thickness rectal prolapse:a meta-analysis[J]. Dis Colon Rectum, 2005, 48(10):1930-1940.
17. 汪建平, 詹文华.胃肠外科手术学[M].北京:人民卫生出版社, 2005:845-859.
18. Harmston C, Jones O. The evolution of laparoscopic surgery for rectal prolapse[J]. Int J Surg, 2011, 9(5):370-373.
19. Formijne Jonkers HA, Poierrié N, Draaisma WA, et al. Laparo-scopic ventral rectopexy for rectal prolapse and symptomatic rect-ocele:an analysis of 245 consecutive patients[J]. Colorectal Dis, 2013, 15(6):695-699.
20. 冯辉, 陈俊奎, 汪强, 等.经腹直肠补片悬吊固定术在成人完全性直肠脱垂治疗中的应用[J].中华胃肠外科杂志, 2010, 13(8):601-603.
21. 张玉茹, 贾山, 吴佐周.肛门紧缩术在直肠脱垂治疗中的应用[J].临床外科杂志, 2009, 17(7):471-472.
22. 龚治林, 于杰, 周启昌, 等.经腹"T"形补片悬吊固定加肛门环缩术治疗成人完全性直肠脱垂18例体会[J].中华胃肠外科杂志, 2011, 14(12):988-989.

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Effect of The Laparoscopic Partial Recto-Sigmoid Resection with Rectopexy for Adult Complete Rectal Prolapse

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