Original Article
Laparoscopic rectal prolapse and suspension for the treatment of 32 cases of rectal full-thickness prolapse
Min Ni, Zhengxin Chen, Zhimin Fan, Shuqing Ding, Rui Zhang, Xiaobo Huang, Ling Wang, Chungen Zhou, Bin Jiang
Published 2019-12-25
Cite as Chin J Colorec Dis (Electronic Edition), 2019, 08(6): 610-615. DOI: 10.3877/cma.j.issn.2095-3224.2019.06.012
Abstract
ObjectiveTo evaluate the clinical efficacy of laparoscopic transabdominal rectal prolapse and suspension for the treatment of rectal full-thickness prolapse.
MethodsAretrospective analysis was performed on the data of 32 patients with moderate and severe rectal full-thickness prolapse who underwent laparoscopic transabdominal rectal prolapse and suture fixation from June 2010 to March 2018 in Nanjing Department of Anorectal Surgery, Nanjing University of Traditional Chinese Medicine. Anal rectal pressure measurements, Wexner constipation scores, and Wexner anal incontinence scores were used to evaluate anal function in patients before, 1 month, 3 months, and during follow-up.
ResultsThirty-two patients with full-thickness rectal prolapse underwent laparoscopic transabdominal rectal prolapse and suture fixation under general anesthesia without conversion to open surgery. The operation time was (115.94±23.34) min; the intraoperative blood loss was (20.16±10.74) mL. The hospital stay was (12.84±2.10) d. The VAS score on the day after surgery was (4.56±1.08) points. Thirty-two patients had a good abdominal incision and no complications such as intestinal obstruction and abdominal infection. Of the 32 patients, Thirty-one were successful followed up. The successful rate of follow-up was 96.97% (31/32), and the follow-up time was (47.56±31.29) months. In 31 patients, the cure rate was 90.32% (28/31) after 6 months of surgery. Wexner constipation scores (t=6.135, 10.448, 10.348; all P<0.05) at 1 month, 3 months, and follow-up, and Wexner anal incontinence scores at 1 month, 3 months, and follow-up (t=7.211, 7.789, 10.089; all P<0.05) were all improved compared with preoperative. Twelve patients with rectal prolapse and anal incontinence were more likely to have anal canal pressure (t=-3.477, P<0.05) and anal canal systolic pressure (t=-2.311, P<0.05).
ConclusionLaparoscopic transrectal rectal prolapse and suspension fixation for the treatment of rectal full-thickness prolapse is significantly improved.
Key words:
Rectum; Laparoscopes; Full-thickness rectal prolapse; Anal function; Wexner constipation scores; Wexner anal incontinence scores
Contributor Information
Min Ni
Department of Anorectal Surgery, Nanjing Hospital of T.C.M, Nanjing 210001, China
Zhengxin Chen
Zhimin Fan
Shuqing Ding
Rui Zhang
Xiaobo Huang
Ling Wang
Chungen Zhou
Bin Jiang
