title: [Laparoscopic versus open mesh rectopexy for total rectal prolapse].
abstract: OBJECTIVE
  To evaluate the efficacy and safety of laparoscopic versus open mesh rectopexy for total rectal prolapse.
  
  
  METHODS
  A retrospective review was conducted for 34 patients undergoing laparoscopic versus open mesh rectopexy for total rectal prolapse between January 2006 and December 2013.
  
  
  RESULTS
  Laparoscopic rectopexy (n = 15) and open surgery (n = 19) were performed. Two groups were matched with regards to age, gender, body mass index (BMI) and American Society of Anesthesiologists (ASA) score. Mortality was zero in each group. There were insignificant inter-group differences in operative duration, postoperative complication, rate of long-term recurrence and improvement of incontinence and constipation. Perioperative blood loss, time to first flatus and hospital stay were significantly shorter in laparoscopic rectopexy group.
  
  
  CONCLUSIONS
  Laparoscopic mesh rectopexy is as safe and efficient as open rectopexy. And both are suitable for senile patients. Long-term outcomes are similar for two groups, but laparoscopic group has better short-term outcome.
authors.affiliation: Department of Gastrointestinal Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou 510630, China.
authors.forename: Jianpei
authors.initials: J
authors.lastname: Liu
authors.forename: Pinjie
authors.initials: P
authors.lastname: Huang
authors.forename: Zongheng
authors.initials: Z
authors.lastname: Zheng
authors.forename: Tufeng
authors.initials: T
authors.lastname: Chen
authors.forename: Jianglong
authors.initials: J
authors.lastname: Huang
authors.affiliation: Email: drweihb@126.com.
authors.forename: Hongbo
authors.initials: H
authors.lastname: Wei
mesh_terms: D015992:Body Mass Index; D003248:Constipation; D013505:Digestive System Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D011183:Postoperative Complications; D012005:Rectal Prolapse; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome