中国现代手术学杂志2017，Vol.21Issue(6)：406-409,4.DOI:10.16260/j.cnki.1009-2188.2017.06.002
腹腔镜经腹前大肠部分切除加直肠悬吊固定治疗成人直肠全脱垂
Laparoscopic Anterior Partial Proctocolectomy with Rectopexy for Complete Rectal Prolapse in Adults
韩爱民 1祝丽丽 1朱家明 1刘绪轩 1徐清 1孙佩全1
作者信息
- 1. 江苏省淮安市淮阴医院肛肠科,淮安223300
- 折叠
摘要
Abstract
Objective To explore the safety and clinical efficacy of laparoscopic anterior partial proctocolectomy with rectal suspension for treatment of adult complete rectal prolapse.Method The clinical data of 11 cases suffered complete rectal prolapsed admitted from February 2012 to April 2016 who received laparoscopic anterior partial proctocolectomy with rectal suspension and selective external anal sphincter plication were analyzed retrospectively.Results All 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.Conclusion The 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.关键词
直肠脱垂/直肠悬吊术/经腹前结直肠切除术/外括约肌折叠术/腹腔镜检查Key words
rectal prolapsed/rectal suspension/anterior proctocolectomy/external anal sphincter plication/laparoscopy分类
医药卫生引用本文复制引用
韩爱民,祝丽丽,朱家明,刘绪轩,徐清,孙佩全..腹腔镜经腹前大肠部分切除加直肠悬吊固定治疗成人直肠全脱垂[J].中国现代手术学杂志,2017,21(6):406-409,4.
