Leppert R, Fuchs K H, Kraemer M, Thiede A
Chirurgische Klinik und Poliklinik, Universität Würzburg.
Zentralbl Chir. 1996;121(8):698-703.
A review of literature and own clinical studies confirm that best postoperative functional results in complete rectal prolapse may be reached with rectopexy in combination with partial resection of the colon. Incontinence may be improved in 38% to 93%, depending on the author. Constipation may be reduced in 41% to 83% of the cases. In comparison, rectopexy without resection resulted in a reduction of constipation of only 11% to 28%, with even a change to the worse in 60% of the patients. Improved operative and anesthesiological conditions cause an acceptable perioperative morbidity (7-13%) and mortality (0-2%) after rectopexy with partial resection of the colon.
文献回顾及自身临床研究证实，直肠固定术联合部分结肠切除术可使完全性直肠脱垂术后获得最佳功能效果。失禁改善率在38%至93%之间，具体取决于作者。便秘缓解率在41%至83%的病例中出现。相比之下，未行切除术的直肠固定术仅使11%至28%的便秘患者症状减轻，甚至60%的患者症状恶化。改进的手术及麻醉条件使结肠部分切除直肠固定术后围手术期发病率（7 - 13%）和死亡率（0 - 2%）处于可接受范围。
