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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2.	鄭澤霖, 何曉明.直腸脫垂的手術治療[J].臨床外科雜志, 2007, 15(2):81-82.
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13.	李東冰, 謝振年, 王芳麗, 等. STAPRE手術治療直腸脫垂42例報道[J].中國普外基礎與臨床雜志, 2012, 19(7):774-776.
14.	李國峰, 周建華.直腸脫垂病因的認識與治療[J].中國肛腸病雜志, 2012, 32(5):79-80.
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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.	馮輝, 陳俊奎, 汪強, 等.經腹直腸補片懸吊固定術在成人完全性直腸脫垂治療中的應用[J].中華胃腸外科雜志, 2010, 13(8):601-603.
21.	張玉茹, 賈山, 吳佐周.肛門緊縮術在直腸脫垂治療中的應用[J].臨床外科雜志, 2009, 17(7):471-472.
22.	龔治林, 于杰, 周啟昌, 等.經腹"T"形補片懸吊固定加肛門環縮術治療成人完全性直腸脫垂18例體會[J].中華胃腸外科雜志, 2011, 14(12):988-989.

1. 喻德洪.黃家駟外科學[M].第6版.北京:人民衛生出版社, 2005:1182-1184.
2. 鄭澤霖, 何曉明.直腸脫垂的手術治療[J].臨床外科雜志, 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. 中華中醫藥學會肛腸分會.肛裂、直腸脫垂、肛瘺、痔的診斷標準(試行草案)[J].中國肛腸雜志, 2004, 24(4):42-43.
5. 中華醫學會消化病學分會胃腸動力學組, 外科學分會結直腸肛門外科學組.中國慢性便秘的診治指南[J].中華消化雜志, 2007, 27(9):619-622.
6. 中華醫學會消化病分會.中國結直腸腫瘤篩查、早診早治和綜合預防共識意見(一)[J].中華消化雜志, 2012, 32(1):1-10.
7. 中華醫學會消化病分會.中國結直腸腫瘤篩查、早診早治和綜合預防共識意見(二)[J].中華消化雜志, 2012, 32(2):73-81.
8. 王浩, 谷云飛.直腸脫垂的外科治療進展[J].國際外科學雜志, 2010, 37(11):747-749.
9. 杜如昱, 王彬, 汪建平, 等.結腸與直腸外科學[M].第5版.北京:人民衛生出版社, 2009:441-442.
10. 美國結直腸外科醫師協會標準化工作委員會.直腸脫垂診治指南[J].中華胃腸外科雜志, 2012, 15(7):755-757.
11. 盧鵬, 劉連杰, 傅傳剛.直腸脫垂的診斷和治療[J].中國實用外科雜志, 2005, 25(2):65-67.
12. 李志霞, 韓加剛.直腸脫垂的外科治療[J].中華胃腸外科雜志, 2004, 7(4):260-261.
13. 李東冰, 謝振年, 王芳麗, 等. STAPRE手術治療直腸脫垂42例報道[J].中國普外基礎與臨床雜志, 2012, 19(7):774-776.
14. 李國峰, 周建華.直腸脫垂病因的認識與治療[J].中國肛腸病雜志, 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, 詹文華.胃腸外科手術學[M].北京:人民衛生出版社, 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. 馮輝, 陳俊奎, 汪強, 等.經腹直腸補片懸吊固定術在成人完全性直腸脫垂治療中的應用[J].中華胃腸外科雜志, 2010, 13(8):601-603.
21. 張玉茹, 賈山, 吳佐周.肛門緊縮術在直腸脫垂治療中的應用[J].臨床外科雜志, 2009, 17(7):471-472.
22. 龔治林, 于杰, 周啟昌, 等.經腹"T"形補片懸吊固定加肛門環縮術治療成人完全性直腸脫垂18例體會[J].中華胃腸外科雜志, 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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