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Successful treatment of rectal prolapse by laparoscopic suture rectopexy.

机译:腹腔镜缝线切开术成功治疗直肠脱垂。

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摘要

BACKGROUND: A wide variety of procedures are used for management of rectal prolapse. The purpose of this study was to evaluate the results of laparoscopic suture rectopexy in the treatment of this condition. METHODS: From May 1991 to May 1998, 32 consecutive patients were treated by laparoscopic suture rectopexy. In four of them, an additional sigmoid colectomy was performed for refractory constipation or redundant large bowels. The clinical data were analyzed. RESULTS: Of our 32 patients, 27 were female and five were male. The median age was 51.5 years (range, 20-87). The median operative time was 150 min (range, 90-300), and the median hospital stay was 5 days (range, 2-20). There were no operative mortalities. Three postoperative complications required reoperations for bowel obstructions. At a median follow-up of 33 months (range 3-78), there were two complete recurrences. CONCLUSIONS: Our experience indicates that laparoscopic suture rectopexy, with and without sigmoid colectomy, is safe, feasible, and effective for the treatment of rectal prolapse.
机译:背景:各种各样的程序用于处理直肠脱垂。这项研究的目的是评估腹腔镜缝线换位术治疗这种情况的结果。方法:1991年5月至1998年5月,连续32例患者接受了腹腔镜缝线切开术。在其中的四个中,对顽固性便秘或多余的大肠进行了额外的乙状结肠切除术。临床资料进行了分析。结果:在我们的32例患者中,女性27例,男性5例。中位年龄为51.5岁(范围20-87)。中位手术时间为150分钟(范围90-300),中位住院时间为5天(范围2-20)。没有手术死亡。肠梗阻需要三例术后并发症。中位随访33个月(范围3-78),有两次完全复发。结论:我们的经验表明,有无乙状结肠结肠切除术的腹腔镜缝线缝合术是安全,可行且有效的,可治疗直肠脱垂。

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