Experiences of 9 cases of laparoscopic rectopexy for rectal prolapse

Abstract

Recently, the incidence of rectal prolapse is increasing with the increase in elderly population. Perineal methods and abdominal methods have been performed for treatment. The formers are less invasive but have a higher rate of recurrence. On the other hand, the latter have a lower rate of recurrence but are more invasive. Recently, the less invasive laparoscopic rectopexy has been performed and its outcome has been reported by many institutions. Briefly, this procedure secures the rectum to the sacrum after mobilization. We performed nine cases of laparoscopic rectopexy for patients with rectal prolapse. The median operation time was 185 (105-478) minutes, the median blood loss was 2 (0-10) ml, and the mean postoperative hospital stay was nine days. There were no serious postoperative complications or recurrence. This procedure yielded adequate patient satisfaction. Laparoscopic rectopexy is relatively safe and can be a good choice of treatment for rectal prolapse.