Laparoscopically-Assisted Resection Rectopexy for Rectal Prolapse: Ten Years' Experience

Autor: John W. Lumley, Luai H. S. Ashari, Russell W. Stitz, Andrew R. L. Stevenson
Rok vydání: 2005
Předmět:
Zdroj: Diseases of the Colon & Rectum. 48:982-987
ISSN: 0012-3706
DOI: 10.1007/s10350-004-0886-3
Popis: This study has been undertaken to audit a single-center experience with laparoscopically-assisted resection rectopexy for full-thickness rectal prolapse. The clinical outcomes and long-term results were evaluated. The data were prospectively collected for the duration of the operation, time to passage of flatus postoperatively, hospital stay, morbidity, and mortality. For follow-up, patients received a questionnaire or were contacted. The data were divided into quartiles over the study period, and the differences in operating time and length of hospital stay were tested using the Kruskal-Wallis test. Between March 1992 and October 2003, a total of 117 patients underwent laparoscopic resection rectopexy for rectal prolapse. The median operating time during the first quartile (representing the early experience) was 180 minutes compared with 110 minutes for the fourth quartile (Kruskal-Wallis test for operating time = 35.523, 3 df, P < 0.0001). Overall morbidity was 9 percent (ten patients), with one death (
Databáze: OpenAIRE