JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Safety of laparoscopic suture rectopexy in elderly patients with rectal prolapse Risa NISHIO 1 , Tetsuo YAMANA 1 , Hideo OKUMURA 1 , Kotaro SHIGAKI 1 , Satoshi TAKAHASHI 1 , Koji MORIMOTO 1 , Daisuke OKADA 1 , Kinya OKAMOTO 1 1Department of Coloproctology, Tokyo Yamate Medical Center Keyword: 直腸脱 , 腹腔鏡下手術 , 直腸固定 pp.3-9
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200658
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 We analyzed the safety of laparoscopic suture rectopexy(LSR) in elderly patients with rectal prolapse. From January 2014 to December 2015, a total of 112 patients underwent LSR : 42 patients over 80 and 70 patients younger than 80. We analyzed the backgrounds, operative findings, postoperative complications, recurrences, and defecation function. In the elderly group, preoperative albumin, hemoglobin, and prognostic nutritional index (PNI) were significantly lower, and ASA scores were higher than 2 with high comorbidity and low respiratory function. Postoperative complications and recurrence rates were similar in both groups. Postoperative passive fecal incontinence improved, but urgent fecal incontinence and constipation did not change in the elderly group. We concluded that LSR is a safe and curative procedure in elderly patients with rectal prolapse.


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基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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