腹腔镜下直肠乙状结肠部分切除联合直肠悬吊固定术治疗成人完全性直肠脱垂的疗效

Effect of The Laparoscopic Partial Recto-Sigmoid Resection with Rectopexy for Adult Complete Rectal Prolapse

目的探讨腹腔镜下直肠乙状结肠部分切除联合直肠悬吊固定术治疗成人完全性直肠脱垂的疗效。方法对2010年5月至2013年5月期间笔者所在医院科室收治的32例成人完全性直肠脱垂患者行腹腔镜下直肠乙状结肠部分切除联合直肠悬吊固定术，总结手术疗效。结果32例患者的手术过程均顺利，无一例中转开腹手术。平均手术时间为114．7min（95～167min），平均术中出血量为80mL（55～150mL），术后平均住院时间为9．8d（6～14d），均全部治愈出院。术后32例患者获访3个月～4年（平均25．6个月），均无脱垂症状，肛门功能恢复良好，无术后并发症及复发。结论腹腔镜下直肠乙状结肠部分切除联合直肠悬吊固定术治疗成人完全性直肠脱垂的疗效良好，具有创伤小、恢复快、复发率低等优点，是一种具有较高临床应用价值的术式。

Objective To explore the effect of laparoscopic partial recto-sigmoid resection with rectopexy for adult complete rectal prolapse. Methods Clinical data of 32 adult patients with complete rectal prolapse who underwent laparoscopic partial recto-sigmoid resection with rectopexy in our hospital from May. 2010 to May. 2013 were analyzed. Results All operations were performed successfully and all patients were cured, no one transferred to open surgery. The mean of operation time was 114. 7 min （95-167 min）, the mean of operative blood loss was 80 mL （55-150 mL）, and the mean of hospital stay was 9. 8 d （6-14 d）. All patients were followed up for 3-48 months （mean of 25.6 months）, and anal function of them recovered well. During the follow-up period, there were no operative complications and recurrent case. Conclusions Laparoscopic partial recto-sigmoid resection with rectopexy is a safe and effective procedure for the treatment of adult complete rectal prolapse, with minimal invasion, quick recovery, and a low recur- rence rate. It provides a novel surgical method with a high value of clinical application.