2020 Volume 45 Issue 1 Pages 7-13
Purpose: We investigated the validity of fixing the mesorectum to the sacrum with metal coil staples via a laparoscopic rectopexy (hereinafter, this is called “this procedure”). Methods: Between July 2013 and March 2018, we performed this laparoscopic rectopexy procedure for 11 patients with a full-thickness rectal prolapse at Takaoka City Hospital. The operation in this procedure was indicated for the patient who could be under full anesthesia and whose rectum had prolapsed by over 3cm. We investigated the surgical outcomes in these cases. Results: The patients were all women. The median age was 80 (range, 68-93) years, the median length of the prolapsed rectum was 3.5 (range, 3-15) cm, the median operation time was 160 (range, 116-285) minutes, the median postoperative hospital stay was 8 (range, 6-11) days. There were no postoperative complications. Postoperative dyschezia such as constipation and frequent bowel movement occurred in seven cases (64%). Recurrence of the prolapse occurred in two cases (18%). Conclusion: This procedure can be performed safely with an easy technic. The rate of postoperative dyschezia is high, however, so we are unable to recommend this procedure in its current form.
