[Laparoscopic resection rectopexy as treatment for obstructive defecation syndrome]

Area of Science:

• Colorectal surgery
• Minimally invasive surgery
• Gastroenterology

Background:

• Anorectal outlet obstruction is a significant cause of chronic constipation.
• Morphological alterations in the pelvis, pelvic floor, and colorectum are common.
• Identifying surgical candidates is crucial for effective treatment.

Purpose of the Study:

• To evaluate the efficacy of laparoscopic resection rectopexy for anorectal outlet obstruction.
• To present surgical techniques and an algorithm for patient selection.
• To report long-term outcomes from extensive clinical experience.

Main Methods:

• Performed 264 laparoscopic resection rectopexies over 19 years.
• Detailed description of surgical technique and operative indications.
• Follow-up assessment of obstructive symptom improvement.

Main Results:

• A 79.5% improvement rate in obstructive symptoms observed.
• Mean follow-up duration of 58.2 months.
• Laparoscopic resection rectopexy showed better outcomes than non-resecting procedures.

Conclusions:

• Laparoscopic resection rectopexy is an effective treatment for anorectal outlet obstruction.
• Correct patient selection and surgical expertise are vital for success.
• The procedure offers significant perioperative and functional benefits.