Riss Stefan, Winstanley Joseph, Collie Mhairi
Department of Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.
Colorectal Unit, Western General Hospital, University of Edinburgh, Edinburgh, UK.
Int Urogynecol J. 2017 Jul;28(7):979-981. doi: 10.1007/s00192-017-3378-4. Epub 2017 Jun 2.
Laparoscopic ventral mesh rectopexy (VMR) has become a popular surgical technique for treating women with full-thickness rectal prolapse with a low recurrence rate, as demonstrated by several studies. In addition, it is increasingly applied to female patients with obstructive defecation syndrome (ODS) caused by intussusception ± rectocele. Functional improvement can be achieved in a high number of patients with ODS, but expectations need to be discussed carefully, as a few patients may not benefit at all. In particular, long-term data on functional outcome and complications following laparoscopic VMR for ODS are still lacking in the literature. Notably, laparoscopic VMR appears to be better than alternative operations for prolapse, intussusception, and rectocele in terms of efficacy, recurrence rates, and adverse effects, but there is a lack of evidence directly comparing techniques through randomized controlled trials; thus, its exact role stills needs to be defined in the future.
腹腔镜腹侧补片直肠固定术（VMR）已成为治疗全层直肠脱垂女性的一种常用手术技术，多项研究表明其复发率较低。此外，它越来越多地应用于因肠套叠±直肠膨出导致排便梗阻综合征（ODS）的女性患者。大量ODS患者可实现功能改善，但仍需谨慎讨论预期效果，因为少数患者可能根本无法从中获益。特别是，关于腹腔镜VMR治疗ODS后的功能结局和并发症的长期数据在文献中仍然缺乏。值得注意的是，在疗效、复发率和不良反应方面，腹腔镜VMR似乎优于治疗脱垂、肠套叠和直肠膨出的其他手术，但缺乏通过随机对照试验直接比较技术的证据；因此，其确切作用仍有待未来明确。
