关键词: 直肠缝线固定术, 完全性直肠脱垂, 腹腔镜

Abstract: 【Abstract】〓Objective〓To investigate the clinical effect of laparoscopic suture rectopexy for the treatment of complete rectal prolapse in adults. Methods〓A total of 52 patients with complete rectal prolapse from January 2010 to January 2014 were included in this study, in which 36 cases (Group A) underwent surgical treatment by using laparoscopic suture rectopexy procedure, 16 (Group B) in the same period underwent laparoscopic mesh rectopexy. The clinical efficacy was observed in all patients and compared between two groups. Results〓The average operation time was 110±13 min in Group A and 120±9 min in Group B, in which there was significant difference (P<0.05). There was no significant difference between two groups about the average intraoperative bleeding (30±10 ml vs 34±9 ml), the average postoperative anal exhaust time (35±8 h vs 39±9 h), the average postoperative hospitalization time (5.1±1.3 d vs 5.8±1.2 d)(all,P>0.05). The average treatment cost was RMB 16227±845 yuan in Group A and RMB 19143±1163 yuan in Group B, and there was significant difference between two groups(P<0.05). There were no early complications found in both groups. The median follow-up time was 26 months. There was no significant difference between the two groups about the rectal prolapse recurrence rate, Wexner constipation score and gastrointestinal quality of life index (GIQLI) of one month or one year after operation(P>0.05). Conclusion〓Laparoscopic suture rectopexy for complete rectal prolapse had such advantages as minor surgical trauma, quicker recovery, shorter hospitalization time, lower cost, and showed satisfactory results in short and long term follow-up.

Key words: Laparoscopy, Complete rectal prolapse, Suture rectopexy