经肛门内镜显微手术治疗直肠内脱垂。
Trans-anal endoscopic microsurgery for internal rectal prolapse.
作者信息
Bloemendaal A L A, De Schepper M, Mishra A, Hompes R, Jones O M, Lindsey I, Cunningham C
机构信息
Department of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Trust, Old Road, Headington, Oxford, OX3 7LE, UK.
出版信息
Tech Coloproctol. 2016 Feb;20(2):129-33. doi: 10.1007/s10151-015-1412-4. Epub 2015 Dec 21.
Internal rectal prolapse can lead to obstructed defecation, faecal incontinence and pain. In treatment of frail or technically difficult patients, a perineal approach is often used, such as a Delorme's or a STARR. However, in case of very high take-off prolapse, these procedures are challenging if not unsuitable. We present trans-anal endoscopic microsurgery as surgical option for management of this uncommon type of rectal prolapse in specific cases.
直肠内脱垂可导致排便梗阻、大便失禁和疼痛。在治疗体弱或技术难度大的患者时，常采用会阴入路，如德洛姆手术或经肛门吻合器直肠切除术（STARR）。然而，对于脱垂起始位置非常高的情况，这些手术即使不是不合适，也是具有挑战性的。我们提出经肛门内镜显微手术作为在特定病例中处理这种罕见类型直肠脱垂的手术选择。
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