腹腔镜缝合直肠固定术成功治疗直肠脱垂。
Successful treatment of rectal prolapse by laparoscopic suture rectopexy.
作者信息
Kessler H, Jerby B L, Milsom J W
机构信息
Department of Colorectal Surgery and Minimally Invasive Surgery Center, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
出版信息
Surg Endosc. 1999 Sep;13(9):858-61. doi: 10.1007/s004649901119.
BACKGROUND
A wide variety of procedures are used for management of rectal prolapse. The purpose of this study was to evaluate the results of laparoscopic suture rectopexy in the treatment of this condition.
METHODS
From May 1991 to May 1998, 32 consecutive patients were treated by laparoscopic suture rectopexy. In four of them, an additional sigmoid colectomy was performed for refractory constipation or redundant large bowels. The clinical data were analyzed.
RESULTS
Of our 32 patients, 27 were female and five were male. The median age was 51.5 years (range, 20-87). The median operative time was 150 min (range, 90-300), and the median hospital stay was 5 days (range, 2-20). There were no operative mortalities. Three postoperative complications required reoperations for bowel obstructions. At a median follow-up of 33 months (range 3-78), there were two complete recurrences.
CONCLUSIONS
Our experience indicates that laparoscopic suture rectopexy, with and without sigmoid colectomy, is safe, feasible, and effective for the treatment of rectal prolapse.
背景
多种手术方法用于直肠脱垂的治疗。本研究的目的是评估腹腔镜缝合直肠固定术治疗该疾病的效果。
方法
1991年5月至1998年5月，连续32例患者接受了腹腔镜缝合直肠固定术治疗。其中4例因难治性便秘或结肠冗长而行附加乙状结肠切除术。对临床资料进行分析。
结果
32例患者中，女性27例，男性5例。中位年龄为51.5岁（范围20 - 87岁）。中位手术时间为150分钟（范围90 - 300分钟），中位住院时间为5天（范围2 - 20天）。无手术死亡病例。3例术后并发症因肠梗阻需再次手术。中位随访33个月（范围3 - 78个月）时，有2例完全复发。
结论
我们的经验表明，无论是否行乙状结肠切除术，腹腔镜缝合直肠固定术治疗直肠脱垂安全、可行且有效。
Zotero 插件