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Updated: Apr 10, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

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Published on: February 12, 2022

Laparoscopic Resection Rectopexy Versus Delorme's Procedure In Full-thickness Rectal Prolapse: A Randomized

Florian Herrle¹, Flavius Sandra-Petrescu¹, Simone Rothenhoefer²

¹Surgical Department, Universitätsmedizin Mannheim, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Annals of Surgery

|March 28, 2025

Summary

This summary is machine-generated.

Laparoscopic resection rectopexy (LRR) is superior to Delorme's procedure (DP) for rectal prolapse, showing significantly lower recurrence rates and better functional outcomes. This surgical approach offers improved quality of life for patients.

Keywords:

Delorme’s procedure constipation fecal incontinence laparoscopic resection rectopexy laparoscopy rectal prolapse recurrence

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Published on: October 25, 2024

Area of Science:

Colorectal surgery
Surgical innovation
Clinical trial methodology

Background:

Rectal prolapse management involves various surgical techniques with limited comparative evidence.
Lack of high-quality randomized studies hinders optimal treatment selection for rectal prolapse.

Purpose of the Study:

To compare the efficacy of laparoscopic resection rectopexy (LRR) against Delorme's procedure (DP) for full-thickness rectal prolapse.
To evaluate recurrence rates, functional outcomes, and quality of life following LRR versus DP.

Main Methods:

The DELORES trial was a randomized, observer-blinded, multicenter study.
Patients with full-thickness rectal prolapse were randomized to either LRR or DP.
Primary outcome was time to prolapse recurrence; secondary outcomes included morbidity and quality of life.

Main Results:

LRR demonstrated a significantly lower recurrence rate (8.2%) compared to DP (42.8%) over 24 months (P=0.0012).
LRR showed more favorable quality of life and incontinence scores, with a lower reoperation rate than DP.
While LRR surgery was longer, postoperative morbidity was low for both procedures.

Conclusions:

Laparoscopic resection rectopexy is a superior surgical option for full-thickness rectal prolapse compared to Delorme's procedure.
LRR offers improved long-term outcomes regarding recurrence and patient-reported functional results.