一种通过腹腔镜将乙状结肠固定于腹壁治疗完全性直肠脱垂的新方法：病例报告
A novel method for treating complete rectal prolapse with laparoscopic sigmoidopexy to the abdominal wall: A case report.
作者信息
Takahashi Junji, Yoshida Masashi, Kamada Teppei, Suzuki Norihiko, Ohdaira Hironori, Suzuki Yutaka
机构信息
Department of Surgery, International University of Health and Welfare, Tochigi, Japan.
Department of Surgery, International University of Health and Welfare, Tochigi, Japan.
出版信息
Int J Surg Case Rep. 2022 Oct;99:107584. doi: 10.1016/j.ijscr.2022.107584. Epub 2022 Aug 31.
INTRODUCTION
The existing treatment methods for rectal prolapse still have problems in terms of their recurrence, invasiveness, and complications; hence, minimally invasive techniques with fewer recurrences and complications are necessary. We performed laparoscopic sigmoidopexy to the abdominal wall to treat complete rectal prolapse.
PRESENTATION OF CASE
An Asian woman in her 80s presented with a complaint of constant faecal and urinary incontinence. She was diagnosed with a 4 cm complete rectal prolapse and underwent surgery. The sigmoid colon was tractioned laparoscopically and fixed to the abdominal wall. The patient had no intraoperative or postoperative complications, and her defaecation was well-controlled without recurrence for one year after surgery.
DISCUSSION
In this study, we performed laparoscopic sigmoidopexy to the abdominal wall with good results.
CONCLUSION
This simple method, which requires only five sutures, can be a candidate treatment method for complete rectal prolapse.
引言
直肠脱垂的现有治疗方法在复发率、侵袭性和并发症方面仍存在问题；因此，需要采用复发率和并发症较少的微创技术。我们对腹壁进行腹腔镜乙状结肠固定术以治疗完全性直肠脱垂。
病例介绍
一名80多岁的亚洲女性因持续的粪便和尿失禁前来就诊。她被诊断为4厘米的完全性直肠脱垂并接受了手术。通过腹腔镜牵引乙状结肠并将其固定于腹壁。患者术中及术后均无并发症，术后一年排便得到良好控制且无复发。
讨论
在本研究中，我们对腹壁进行腹腔镜乙状结肠固定术，效果良好。
结论
这种仅需五针缝合的简单方法可作为完全性直肠脱垂的候选治疗方法。
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