Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (6): 405-409 DOI: 10.16260/j.cnki.1009-2188.2017.06.002 |
| Clinical Research |
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| Laparoscopic Anterior Partial Proctocolectomy with Rectopexy for Complete Rectal Prolapse in Adults |
| HAN Ai-min,ZHU Li-li,ZHU Jia-ming,LIU Xu-xuan,XU Qing,SUN Pei-quan
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| Department of Anorectal Surgery,Huaiyin Hospital of Huai'an,Huai'an223300,Jiangsu,China |
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Abstract ObjectiveTo explore the safety and clinical efficacy of laparoscopic anterior partial proctocolectomy with rectal suspension for treatment of adult complete rectal prolapse.MethodThe clinical data of 11 cases suffered complete rectal prolapsed admitted from February 2012 to April 2016 whoreceivedlaparoscopic anterior partial proctocolectomy with rectal suspension and selective external anal sphincter plication were analyzed retrospectively.ResultsAll 11 cases were accomplished the surgery of laparoscopic anterior partial proctocolectomy with rectal suspension successfully, including 7 cases adding selective external anal sphincter placation. The average operation time was (135.4±45.1) min and hemorrhage volume was (60.2±9.5) ml. Of 11 cases, there was 10 cases cured and 1 case improved. Incision infection occurred in 1 case. No anastomotic fistula, abdominal infection, intestinal obstruction and other serious complications was found. There was no recurrence during 12 to 60 months follow-up period. The Wexner score was improved from 12.5±2.4 before the surgery to 3.5±0.4 after the surgery in 7 cases of anal incontinence, and the difference was statistically (P<0.01). The symptoms of difficult defecation were improved significantly in 3 cases with difficult defecation.ConclusionThe laparoscopic anterior partial resection of large intestine with rectal suspension and selective external anal sphincter plication is safe and effective treatment with lower recurrence rate for complete rectal prolapsed in adults.
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Published: 28 May 2018
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Corresponding Authors:
HAN Ai-min
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| About author:: 韩爱民，男，44岁，江苏省淮安市淮阴医院肛肠科副主任医师。 |
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