Kwok S P, Carey D P, Lau W Y, Li A K
Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories.
Dis Colon Rectum. 1994 Sep;37(9):947-8. doi: 10.1007/BF02052604.
Good results of rectopexy for complete rectal prolapse have been achieved using the transabdominal approach. With the introduction of the laparoscopic technique in cholecystectomy, many other abdominal procedures have been tried with the laparoscopic technique with varying degrees of success. The laparoscopic technique has opened up a new possibility of a minimally invasive approach to rectopexy. With the elimination of a major incision in laparoscopic rectopexy, the patients may benefit from less morbidity associated with a major abdominal wound. In this case report, laparoscopic rectal mobilization and rectopexy using Marlex mesh and a hernia stapler is reported.
经腹入路进行直肠固定术治疗完全性直肠脱垂已取得良好效果。随着腹腔镜技术在胆囊切除术中的引入,许多其他腹部手术也尝试采用腹腔镜技术,且取得了不同程度的成功。腹腔镜技术为直肠固定术开辟了一种微创入路的新可能。由于腹腔镜直肠固定术无需做大切口,患者可能因腹部大伤口相关的发病率降低而受益。在本病例报告中,报道了使用Marlex网片和疝吻合器进行腹腔镜直肠游离和直肠固定术。