[Rectal prolapse--laparoscopic resection and results].
postoperatively Seventeen females presenting rectal intussusception with a combined outlet obstruction underwent laparoscopic resection of the rectum (n = 4) or rectum and sigma (n = 13). Mean age was 61.5 +/- 9.7 years, mean duration of surgery took 117 +/- 30.4 minutes, realimentation started 3.5 +/- 1.3 days postoperatively and the mean stay in hospital lasted 11.8 +/- 2.9 days. In all patients an ano-rectal pressure-measurement and EMG were carried out. There was a significant lower resting-pressure of the anal sphincter in comparison to a normal collective of healthy patients with 67.8 +/- 21.6 cm H2O (p < 0.006). Postoperatively one severe complication with a generalized peritonitis and a resulting ARDS occurred. No perioperative mortality had to be remarked. Our results show that laparoscopic resection in patients with a rectal intussusception and outlet obstruction is safe. Wether rectal intussusception apart of rectal prolapse is an entity of its own, has to been shown in further investigations.
Bönner
C
C
Koloproktologische Klinik der Kliniken St Antonius, Wuppertal-Klinik der Universität Witten-Herdecke.
Prohm
P
P
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007443:Intussusception / Q000601:surgery; D010535:Laparoscopy; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology; D012002:Rectal Diseases / Q000601:surgery; D012005:Rectal Prolapse / Q000601:surgery*; D012128:Respiratory Distress Syndrome / Q000209:etiology
Rektumprolaps--laparoskopische Resektion und Ergebnisse.