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Laparoscopic-assisted resection-rectopexy for rectal prolapse: early and medium follow-up
A R Stevenson1, R W Stitz, J W Lumley
1Department of Surgery, Royal Brisbane Hospital, Australia.
Diseases of the Colon and Rectum
|March 24, 1998
Summary
Laparoscopic-assisted resection rectopexy offers a safe and effective surgical option for rectal prolapse, demonstrating improved patient function and shorter hospital stays. This minimally invasive technique shows promising outcomes compared to traditional open surgery.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Rectal prolapse is a condition requiring surgical intervention.
- Traditional open surgery has known risks and recovery times.
- Laparoscopic techniques offer potential advantages in surgical procedures.
Purpose of the Study:
- To describe the technique of laparoscopic-assisted resection rectopexy.
- To audit the clinical and functional outcomes of this procedure.
- To compare outcomes with open surgical methods.
Main Methods:
- Prospective data collection on operative time, flatus/feces passage, hospital stay, morbidity, and mortality.
- Standardized questionnaire and clinical/telephone follow-up by an independent assessor.
- Comparison of outcomes between early and late patient cohorts.
Main Results:
- 30 patients underwent laparoscopic-assisted resection rectopexy with a median operation time of 185 minutes and hospital stay of 5 days.
- Morbidity was 13% and mortality was 3%.
- Significant improvements in operating time and hospital stay were noted over time. 92% of patients reported symptom improvement, with notable gains in continence (70%) and constipation (64%).
Conclusions:
- Laparoscopic-assisted resection rectopexy is a feasible and safe procedure for rectal prolapse.
- It yields acceptable recurrence rates and functional results compared to open surgery.
- The procedure is associated with rapid return of intestinal function and early hospital discharge.